Author(s)

Kazuhide Matsunaga^1*, Akifumi Enomoto¹, Takeshi Shimoide¹, Sanae Iwasaki¹, Takao Mukai¹, Noritaka Isogai², Suguru Hamada¹

¹Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Kindai University, Osaka, Japan.
²Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Kindai University, Osaka, Japan.

We managed four patients who had neoplastic, posttraumatic, atrophic and postoperative lip deformity, respectively. Case 1: The patient had a hemangioma (17 × 14 mm) confined to the vermilion part of the lower lip. We performed the wedge excision of the tumor and labioplasty. The postoperative appearance and function of the lip were satisfactory. Case 2: The patient had posttraumatic deformity of the upper lip. We performed correction by Cronin’s triangular flap method. The postoperative appearance of the lip was satisfactory. Case 3: The patient had severe atrophy of the upper lip and difficulty closing mouth due to progressive hemifacial atrophy. We performed reconstruction of the upper lip on the atrophic side with a cross-lip vermilion flap from the non-atrophic lower lip. The postoperative appearance and function of the lip were satisfactory. Case 4: The patient had postoperative lower lip deformity and difficulty closing mouth after tumor resection and reconstruction with a myocutaneous pectoralis major flap. We performed debulking of the bulky flap and covered the raw surface with a local rotation flap. The postoperative lip closure was satisfactory. In patients with lip deformity, it is important to perform appropriate correction or reconstruction according to each patient’s clinical features in order to achieve satisfactory cosmetic and functional outcomes.

Lip Deformity, Labioplasty, Lip Reconstruction

Matsunaga, K. , Enomoto, A. , Shimoide, T. , Iwasaki, S. , Mukai, T. , Isogai, N. and Hamada, S. (2018) Four Patients Undergoing Labioplasty and Lip Reconstruction for Lip Deformity. Surgical Science, 9, 97-108. doi: 10.4236/ss.2018.93010.