| Title | [Lip reconstruction in noma sequelae] | | Author(s) | Montandon D, Pittet B | | Institution | Unité de chirurgie plastique et reconstructive, département de chirurgie, hôpitaux universitaires de Genève, 24, rue Micheli-du-Crest, 1211 Genève 14, Suisse. | | Source | Ann Chir Plast Esthet 2002 Oct; 47(5):520-35. | | MeSH | English Abstract
Face
Humans
Lip
Noma
Reconstructive Surgical Procedures
Surgical Flaps
| | Abstract | Noma is a grangenous stomatitis which might extend to other facial structures leading to extensive soft tissue and bony defects. Reconstruction of noma sequellae should take into account a few principles in relation to the particular aspect of this disease: (1) correction of the mandibular constriction; (2) removal of scar tissue in order to recreate the initial defect; (3) reconstruction of the missing bony framework; (4) reconstruction of the maxilla and upper lip before building the nose in case it is destroyed; (5) anticipation of the facial growth. Reconstruction of the lips, in case of extensive defects often necessitates a distant skin flap. As free flaps, the forearm fascio-cutaneous flap or the serratus musculo-cutaneous flap were used according to the size of the defect. The mucosal part of the lip is usually reconstructed with a local flap from the adjacent lip or an heterolabial flap (Estlander flap). | | Language | fre | | Pub Type(s) | Journal Article
Review
| | PubMed ID | 12449875 |
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