Modification in Webster technique for lower lip reconstruction, using bilateral nasolabial flaps to improve reconstruction of vermilion
INTRODUCTION: Many authors consider the Bernard technique modified by Webster the first choice for total lower lip reconstruction. This technique preserves skin folds and anatomical landmarks on the face, and interferes minimally with the tactile sensibility of the reconstructed lip, resulting in sa...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2016-06-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/1735/en_v31n2a10.pdf |
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| author | Victor Vieira Orsi Antônio Carlos Pinto Oliveira Daniel Sperb David Sena Jefferson Braga Silva Marcus Vinícius Martins Collares Nilton Tabajara Herter |
| author_facet | Victor Vieira Orsi Antônio Carlos Pinto Oliveira Daniel Sperb David Sena Jefferson Braga Silva Marcus Vinícius Martins Collares Nilton Tabajara Herter |
| author_sort | Victor Vieira Orsi |
| collection | DOAJ |
| description | INTRODUCTION: Many authors consider the Bernard technique modified by Webster the first choice for total lower lip reconstruction. This technique preserves skin folds and anatomical landmarks on the face, and interferes minimally with the tactile sensibility of the reconstructed lip, resulting in satisfying cosmetic and functional outcomes. Despite agreeing with the principles of the Webster technique, a modification is proposed to improve reconstruction of vermilion, by using bilateral nasolabial flaps associated with the original advancement flaps.
METHODS: We report five surgical cases carried out between 2003 and 2008, and discussion of results.
RESULTS: Dissection need to advance flaps in Bernard-Webster technique does not make nasolabial flaps unviable, and they can be rotated properly to add volume and skin to the reconstructed vermilion.
CONCLUSION: Proposed modification of Bernard-Webster technique does not increase risk or damage compared with classic technique, and it maintains the same reconstructive capabilities or even enhances it. |
| format | Article |
| id | doaj-art-cf6b8076f2704b8d968458cbb260a5e5 |
| institution | Kabale University |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2016-06-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-cf6b8076f2704b8d968458cbb260a5e52025-08-20T03:57:44ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352016-06-01310219720210.5935/2177-1235.2016RBCP0032Modification in Webster technique for lower lip reconstruction, using bilateral nasolabial flaps to improve reconstruction of vermilionVictor Vieira Orsi0Antônio Carlos Pinto Oliveira1Daniel Sperb2David Sena3Jefferson Braga Silva4Marcus Vinícius Martins Collares5Nilton Tabajara Herter6Sociedade Brasileira de Cirurgia Plástica, Rio Grande do Sul, Porto Alegre, RS, BrazilUniversidade Federal do Rio Grande do Sul, Porto Alegre, RS, BrazilSanta Casa de Porto Alegre, Porto Alegre, RS, BrazilSociedade Brasileira de Cirurgia Plástica, Rio Grande do Sul, Porto Alegre, RS, BrazilPontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, BrazilUniversidade Federal do Rio Grande do Sul, Porto Alegre, RS, BrazilPontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, BrazilINTRODUCTION: Many authors consider the Bernard technique modified by Webster the first choice for total lower lip reconstruction. This technique preserves skin folds and anatomical landmarks on the face, and interferes minimally with the tactile sensibility of the reconstructed lip, resulting in satisfying cosmetic and functional outcomes. Despite agreeing with the principles of the Webster technique, a modification is proposed to improve reconstruction of vermilion, by using bilateral nasolabial flaps associated with the original advancement flaps. METHODS: We report five surgical cases carried out between 2003 and 2008, and discussion of results. RESULTS: Dissection need to advance flaps in Bernard-Webster technique does not make nasolabial flaps unviable, and they can be rotated properly to add volume and skin to the reconstructed vermilion. CONCLUSION: Proposed modification of Bernard-Webster technique does not increase risk or damage compared with classic technique, and it maintains the same reconstructive capabilities or even enhances it.http://www.rbcp.org.br/export-pdf/1735/en_v31n2a10.pdflip/surgeryreconstructive surgical proceduressurgical flaps |
| spellingShingle | Victor Vieira Orsi Antônio Carlos Pinto Oliveira Daniel Sperb David Sena Jefferson Braga Silva Marcus Vinícius Martins Collares Nilton Tabajara Herter Modification in Webster technique for lower lip reconstruction, using bilateral nasolabial flaps to improve reconstruction of vermilion Revista Brasileira de Cirurgia Plástica lip/surgery reconstructive surgical procedures surgical flaps |
| title | Modification in Webster technique for lower lip
reconstruction, using bilateral nasolabial flaps
to improve reconstruction of vermilion |
| title_full | Modification in Webster technique for lower lip
reconstruction, using bilateral nasolabial flaps
to improve reconstruction of vermilion |
| title_fullStr | Modification in Webster technique for lower lip
reconstruction, using bilateral nasolabial flaps
to improve reconstruction of vermilion |
| title_full_unstemmed | Modification in Webster technique for lower lip
reconstruction, using bilateral nasolabial flaps
to improve reconstruction of vermilion |
| title_short | Modification in Webster technique for lower lip
reconstruction, using bilateral nasolabial flaps
to improve reconstruction of vermilion |
| title_sort | modification in webster technique for lower lip reconstruction using bilateral nasolabial flaps to improve reconstruction of vermilion |
| topic | lip/surgery reconstructive surgical procedures surgical flaps |
| url | http://www.rbcp.org.br/export-pdf/1735/en_v31n2a10.pdf |
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