UPPER LIP VERMILION TRANSPOSITION FLAP PADA COMMISUROPLASTY DAN Z PLASTY PADA REKONSTRUKSI MACROSTOMIA
Upper Lip Vermilion Transposition Flap in Commissuropla
sty and Z-Plasty in Macrostomia Reconstruction
Macrostomia, a rare congenital anomaly occurring in approximately 1 in 80,000 births, presents unique challenges in facial reconstruction. This condition, often associated with other congenital disorders, necessitates precise surgical techniques to achieve optimal functional and aesthetic outcomes. In recent practices, combining Upper Lip Vermilion Transposition Flap with Z-Plasty has shown promising results in addressing macrostomia.
Macrostomia involves an abnormal enlargement of the oral commissure, which can affect the symmetry and function of the mouth. Traditional reconstructive methods have varied, but recent advancements aim to provide more standardized and effective solutions. The Upper Lip Vermilion Flap and Z-Plasty represent a significant evolution in this field.
In a recent case, a patient underwent macrostomia reconstruction utilizing the Kaplan technique for commissuroplasty. The upper lip vermilion was transposed to the lower lip, and the orbicularis oris muscle was sutured using the Boo-Chai technique for optimal function. Additionally, Z-Plasty was employed for skin closure.
The Upper Lip Vermilion Flap technique proved effective in creating a more natural and symmetric commissure. By transposing the upper lip vermilion to the lower lip vermilion, the commissure achieved a more harmonious appearance. The use of the Boo-Chai technique for muscle suturing ensured that the orbicularis oris muscle function was as close to normal as possible.
The Z-Plasty technique was crucial for skin closure, as it helped prevent lateral migration of the commissure, ensuring a stable and aesthetically pleasing result. This technique minimizes scarring and improves the overall appearance of the reconstructed area.
For macrostomia reconstruction, the combination of the Upper Lip Vermilion Flap and Z-Plasty techniques offers a highly effective approach. The Upper Lip Vermilion Flap provides a more natural commissure, while Z-Plasty ensures that the commissure remains properly aligned with minimal scarring. The Boo-Chai suturing technique further enhances muscle function, contributing to a successful and aesthetically pleasing outcome.
These advanced techniques highlight the ongoing evolution in surgical approaches for macrostomia, offering improved results and enhanced patient satisfaction.
Learn more about these innovative techniques and their impact on facial reconstruction.
Learn More: https://doi.org/10.20473/jre.v6i2.31833 More Articles: https://e-journal.unair.ac.id/JRE/