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2013, Number S1

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Correo Científico Médico 2013; 17 (S1)

Presentation of three patients with lower lip reconstruction through Bernard technique (modified)

Vivar BM, García CE, Reynaldo GMÁ, Campaña RM, Parladé FC
Full text How to cite this article

Language: Spanish
References: 10
Page: 566-571
PDF size: 226.79 Kb.


Key words:

lower lip, squamous cell carcinoma, reconstructive surgery, modified Bernard technique.

ABSTRACT

Introduction: surgical treatment of malignant tumors affecting the lower lip requires the removal of a large part of this anatomical area. Several techniques are described for generating defect repair, including Bernard technique, first described in 1853 and has assimilated some changes that make it more functional and aesthetic.
Objective: to present three patients that underwent reconstruction of lower lip defects with the use of the Bernard surgical technique (modified).
Methods: three patients underwent surgical treatment for squamous cell carcinoma requiring resection of more than one third of the lower lip and reconstructive cheiloplasty by Bernard technique (modified).
Results: in all three patients, the tumor exeresis was completed and achieved favorable aesthetic and functional results.
Conclusions: Bernard surgical technique (modified) is very useful for the reconstruction of large defects of the lower lip achieving a functional and esthetic lip.


REFERENCES

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  2. Webster JP, Coffey R, Kelleher RE. Total and partial reconstruction of the lower lip with innervated muscle-bearing flaps. Plastic and reconstructive Surgery. 1960; 25:360-371.

  3. Jackson IT. Lip reconstruction. Local flaps in head and neck reconstruction. St Louis: Mosby; 1985.

  4. Kroll SS. Staged sequential flap reconstruction for large lower lip defects. Plast Reconstr Surg. 1991; 88(4):620-7.

  5. Hills RJ. Innervated cutaneous muscle of the lip flap (Karapandzic Technique). Austral J Dermatol. 1998; 39(3):190-1.

  6. Calhoun KH. Reconstruction of small and medium sized defects of the lower lips. Am J Otolaryngol. 1992; 13(1):16-22.

  7. Leonard AL, Hanke CW. Second intention healing for intermediate and large postsurgical defects of the lip. J Am Acad Dermatol. 2007; 57:832-5.

  8. Baker SR. Local flaps in facial reconstruction. Philadelphia: Elsevier; 2007.

  9. Anvar BA, Evans BCD, Evans GRD. Lip reconstruction. Plast Recontr Surg. 2007; 120: 57-64.

  10. Kuo YR, Jeng SF, Wei FC, Su CY, Chien CY. Functional reconstruction of complex lip and cheek defect with free composite anterolateral thigh flap and vascularized fascia. Head Neck. 2008; 30:10 01–1006.




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Correo Científico Médico. 2013;17