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Total upper lip reconstruction with a free temporal scalp flap: Long-term follow-up

Authors

  • Kao-Ping Chang MD,

    1. Division of Plastic and Reconstructive Surgery, Department of Surgery, Kaohsiung Medical University Hospital, 100 Shih-Chuan 1st Road, Kaohsiung 807, Taiwan
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  • Chung-Sheng Lai MD,

    Corresponding author
    1. Division of Plastic and Reconstructive Surgery, Department of Surgery, Kaohsiung Medical University Hospital, 100 Shih-Chuan 1st Road, Kaohsiung 807, Taiwan
    • Division of Plastic and Reconstructive Surgery, Department of Surgery, Kaohsiung Medical University Hospital, 100 Shih-Chuan 1st Road, Kaohsiung 807, Taiwan
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  • Chih-Cheng Tsai MD,

    1. Division of Plastic and Reconstructive Surgery, Department of Surgery, Kaohsiung Medical University Hospital, 100 Shih-Chuan 1st Road, Kaohsiung 807, Taiwan
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  • Tsai-Ming Lin MD,

    1. Division of Plastic and Reconstructive Surgery, Department of Surgery, Kaohsiung Medical University Hospital, 100 Shih-Chuan 1st Road, Kaohsiung 807, Taiwan
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  • Sin-Daw Lin MD

    1. Division of Plastic and Reconstructive Surgery, Department of Surgery, Kaohsiung Medical University Hospital, 100 Shih-Chuan 1st Road, Kaohsiung 807, Taiwan
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  • Presented at the 2001 Inaugural Congress of the World Society for Reconstructive Microsurgery in Taipei, Taiwan.

Abstract

Background.

In men, reconstruction of large full-thickness defects of the upper lip requires both an inner layer to replace the mucosal lining and an outer hair-bearing layer.

Methods.

When locating the superficial temporal vessels, the design of the temporal flap is marked following the hairline needed. After meticulously dissecting the flap, it is inset and microanastomosed with the facial blood vessels. The internal mucosal layer of the flap is grafted on. During the follow-up period, the sensory recovery and motor functions are examined and recorded.

Results.

The postoperative courses were uneventful, and patients were satisfied with the results. One patient has a long follow-up period of 18 years.

Conclusions.

The free temporal scalp hair-bearing flap offers a reasonable alternative to conventional techniques in the reconstruction of large defects of the male upper lip or even a total upper lip. It is a single-staged, relatively simple method of providing hair-bearing skin to the upper lip. © 2003 Wiley Periodicals, Inc. Head Neck 25: 602–605, 2003

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