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Journal of the American Academy of Dermatology
Volume 71, n° 6
pages 1198-1203 (décembre 2014)
Doi : 10.1016/j.jaad.2014.07.027
accepted : 21 July 2014
Dermatologic Surgery

Double island pedicle or V-Y flap repair for partial-thickness combined defects of the cutaneous and mucosal lip
 

Shyamala C. Huilgol, MBBS (Hons), FACD a, b, , Joyce H.Y. Ma, MBBS b, Russell J. Hills, MBBS, FACD c, d
a Adelaide Skin and Eye Center, Kent Town, Adelaide, Australia 
b Department of Dermatology, Royal Adelaide Hospital, University of Adelaide, Adelaide, Australia 
c Aesthetix, Auchenflower, Australia 
d North West Private Hospital, Everton Park, Australia 

Reprint requests: Shyamala C. Huilgol, MBBS (Hons), FACD, Adelaide Skin and Eye Center, 89 King William St, Kent Town, Adelaide, South Australia 5067, Australia.
Abstract
Background

Removal of skin cancer at or near the vermilion border may result in a partial-thickness combined cutaneous and mucosal lip defect for which repair has potential for poor cosmetic and functional outcomes.

Objective

We sought to describe the closure and results from repair of combined lip defects using 2 island pedicle or V-Y flaps, 1 for the cutaneous lip and 1 for the mucosa.

Methods

A retrospective review of all patients with combined defects of the lip who underwent double island pedicle or V-Y flap repair from June 2008 to December 2013 was performed.

Results

Ten patients (6 female, 4 male; ages 35-89 years, mean age 60 years) had defects on the upper lip in 8 cases and on the lower lip in 2 cases. Follow-up was for 3 months or longer with good or excellent outcomes in all cases.

Limitations

This was a nonrandomized, unblinded clinical case series with a limited sample size.

Conclusion

Double island pedicle or V-Y flap repair is an elegant closure with good to excellent results and may avoid potential problems inherent in other repair options.

The full text of this article is available in PDF format.

Key words : island pedicle flap, lip, Mohs micrographic surgery, skin cancer, vermilion, V-Y flap



 Funding sources: None.
 Conflicts of interest: None declared.



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