PMC9326193_01
Preoperative picture of a patient with partial vermilion and lip defect
NJMS-13-125-g001.jpg
PMC9326193_01_NJMS-13-125-g001.jpg
F1
A 17-year-old male sustained roadside facial injury in which his lower lip got injured and resulted in the partial defect of vermilion and lower lip [Figure 1].
The planned surgical technique
NJMS-13-125-g002.jpg
PMC9326193_01_NJMS-13-125-g002.jpg
F2
It is our novel technique of vermilion reconstruction [Figure 2].
Markings vestibular myomucosal flap. Transverse two lines in the flap were marked for de-epithelization of mucosa in the flap. Later the planning changed and the flap was not de-epithelized
NJMS-13-125-g003.jpg
PMC9326193_01_NJMS-13-125-g003.jpg
F3
An inferior labial vessel-based rectangular myomucosal vertical flap of 3 cm by 2 cm was elevated on the oral mucosa of lower lip extending from the vermilion above to the labial sulcus below, just posterior to the lower lip defect [Figure 3]. The lower end of the flap was turned upward and sutured with the margins of vermilion defect [Figure 3].
Small muscle flap raised from the floor of ant lip wound to cover the orocutaneous communication
NJMS-13-125-g004.jpg
PMC9326193_01_NJMS-13-125-g004.jpg
F4
A layer of orbicularis oris was dissected below the hole [Figure 4], as a small flap, and this flap was brought upward over the hole to cover it anteriorly and was stitched with the orbicularis oris of either side of the remaining vermilion.
Complete closure
NJMS-13-125-g005.jpg
PMC9326193_01_NJMS-13-125-g005.jpg
F5
A small transverse slit-like orocutaneous communication was left between the lower lip skin and the undersurface of labial flap [Figure 5].
Three-year follow-up mouth closed
NJMS-13-125-g006.jpg
PMC9326193_01_NJMS-13-125-g006.jpg
F6
It was functionally and esthetically a good repair, and the patient remained satisfied with the outcome of the surgery even after 3 years of follow-up [Figures 6 and 7].
Three years followup mouth open
NJMS-13-125-g007.jpg
PMC9326193_01_NJMS-13-125-g007.jpg
F7
It was functionally and esthetically a good repair, and the patient remained satisfied with the outcome of the surgery even after 3 years of follow-up [Figures 6 and 7].