PMC4996059_01
(a) At the completion of surgery, (b) 6 h after surgery and (c) the flap was returned to the lower lip.
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F0001
Its color immediately after surgery was favorable (Figure 1(a)), but marked swelling of the flap and surrounding tissue was noted 6 h after surgery, with which the flap developed venous congestion (Figure 1(b)). After confirming blood flow from the flap stump, the flap was returned to the lower lip and fixed by sutures, and the transplantation site was simply sutured (Figure 1(c)).
(a) Seven hours after returning the flap to the donor site, (b) 1 week after surgery, (c) re-transplantation of the lip switch flap and (d) 1 week after surgery.
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F0002
Congestion was improved 7 h after surgery (Figure 2(a)), and the flap returned to the donor site had almost completely recovered 1 week after surgery (Figure 2(b)). The flap was re-transplanted with sufficient tissue around the pedicle under local anesthesia (Figure 2(c)). As of 2 years after surgery (Figure 2(d)), the cleft lip nose deformity had improved with a favorable course.