Pre-expanded bipedicled visor flap:an ideal option for the reconstruction of upper and lower lip defects postburn in Asian males  

作　　者：Peiru Min Jie Li Beniamino Brunetti Zheming Pu Weijie Su Wenjing Xi Zheng Zhang Rosa Salzillo Shaoqing Feng Yixin Zhang 

机构地区：[1]Department of Plastic and Reconstructive Surgery,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University,School of Medicine,Shanghai,China [2]Department of Plastic and Reconstructive Surgery,Campus Bio-Medico University of Rome,Rome,Italy

出　　处：《Burns & Trauma》2020年第1期359-367,共9页烧伤与创伤（英文）

基　　金：National Natural Science Foundation of China,Award Number:81801918;National Natural Science Foundation of China,Award Number:81772098。

摘　　要：Background:Reconstruction of upper and lower lip subunits is a complicated and elusive challenge.For patients affected by defects involving upper and lower lip subunits,a technique able to reconstruct both aesthetic units with matched colour,sufficient contours and similar texture would be ideal.In this study,we present our experience with upper and lower lip reconstruction using the pre-expanded bipedicled visor flap.Methods:From January 2014 to January 2017,12 male patients presenting with defects of the upper and lower lip subunits were treated using this surgical technique.After a period of expansion of the scalp flap of over 6 months,the bipedicled visor flap was raised from both the parietal regions and rotated to resurface the defect.Delay and section of the pedicle were then performed.Results:Twelve male patients with postburn scars aged 22 to 48 years(mean:34 years)were successfully treated with no major complications.The donor site was closed primarily in all cases.Subsequent flap debulking and minor revisions were performed under local anaesthesia between 6 and 12 months postoperatively.Conclusions:The pre-expanded bipedicled visor flap provides an effective and reliable option for upper and lower lip reconstruction with excellent colour and texture.It is feasible to achieve these results simultaneously from a single donor site by using a pre-expanded bipedicled visor flap.

关 键 词：Postburn Pre-expanded Visor flap Lip defect RECONSTRUCTION 

分 类 号：O17[理学—数学]