The reverse Yu flap for upper lip reconstruction: report of one case, review of the literature

doi:10.19438/j.cjoms.2022.06.018

Abstract

Abstract: Reconstruction of defects of the upper lip caused by cancer or trauma with its requirements of a complicated anatomical structure, important physiological function, and acceptable cosmetic result, is a challenge for oral and maxillofacial surgeons. The reverse Yu flap has been predominantly used for the reconstruction of medium-sized full-thickness upper lip defects. It is easy to raise with good aesthetic and functional results and minimal donor site morbidity. In this paper, we reported a case of using reverse Yu flap for upper lip reconstruction, and the relevant literatures were reviewed.

Key words: Upper lip defect, Reconstruction, Reverse Yu flap

CLC Number:

R782.2

ZHANG Sen-lin, WEI Bin, LIANG Tong-xin. The reverse Yu flap for upper lip reconstruction: report of one case, review of the literature[J]. China Journal of Oral and Maxillofacial Surgery, 2022, 20(6): 618-620.

References

[1] Nabili V, Knott PD.Advanced lip reconstruction: functional and aesthetic considerations[J]. Facial Plast Surg, 2008, 24(1): 92-104.
[2] Luce EA, Jing XL, Carlson T.Abbe flap reconstruction of the upper lip[J]. Plast Reconstr Surg, 2020, 145(3): 606e-607e.
[3] Jim SK, Lee S, Park H.Extended Estlander flap for repairing a large upper lip defect involving the oral commissure[J]. Arch Aesthetic Plast Surg, 2020, 26(3): 111-113.
[4] Peirong Yu, 孙长伏. 头颈部缺损修复与重建[M]. 北京:人民卫生出版社, 2013: 288-290.
Yu P, Sun CF.Head and neck reconstruction[M]. Beijing: People's Medical Publishing House, 2013: 288-290.
[5] Odell MJ, Varvares MA.Microvascular reconstruction of major lip defects[J]. Facial Plast Surg Clin N Am, 2009, 17(2): 203-209.
[6] 张森林, 魏斌, 梁彤欣, 等. 颊部滑行推进瓣修复大型上唇缺损的回顾性分析[J].口腔医学研究, 2020, 36(8): 745-747.
Zhang SL, Wei B, Liang TX, et al.Sliding advancement cheek flap for reconstruction of large upper lip defects after ablative surgery: a retrospective study[J]. Journal of Oral Science Research, 2020, 36(8): 745-747.
[7] Belmonte-Caro R, Infante-Cossio P, Garcia-Perla Garcia A, et al. Reverse Yús flap for upper lip reconstruction[J]. J Plast Reconstr Aesthet Surg, 2010, 63(1): e148-e150.
[8] Yu JM.A new method for reconstruction of the lower lip after tumor resection[J]. Eur J Plast Surg, 1989, 12(1): 155-159.
[9] Lee J, Oh SJ, Jung SW, et al.Combined rotation and advancement flap reconstruction for a defect of the upper lip: 2 cases[J]. Arch Plast Surg, 2012, 39(3): 244-248.
[10] Li ZN, Li RW, Tan XX, et al.Yu's flap for lower lip and reverse Yu's flap for upper lip reconstruction: 20 years experience[J]. Br J Oral Maxillofac Surg, 2013, 51(8): 767-772.
[11] García de Marcos JA, Heras Rincón I, González Córcoles C, et al. Bilateral reverse Yu flap for upper lip reconstruction after oncologic resection[J]. Dermatol Surg, 2014, 40(2): 193-196.
[12] Sanchez-Sanchez M, Infante-Cossio P, Lozano-Rosado R.Resection of upper lip adenoid cystic carcinoma and reconstruction with reverse Yu flap: report of three cases and a literature review[J]. Molecul Clin Oncol, 2017, 6(3): 444-450.

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