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Journal of Korean Cleft Palate-Craniofacial Association 2004;5(2):101-103.
A Case of Three Triangular Flaps as a Secondary Operative Procedure after Reconstruction of the Lower Lip by Estlander's Method.
In Gue Kim, Chul Hwan Seul, Sung Jun Lee, Yoon Kyu Chung, Sug Won Kim
Department of Plastic and Reconstructive Surgery, Yonsei University, Wonju College of Medicine, Wonju, Korea. swkim@wonju.yonsei.ac.kr
Estlander's method was popular for lower lip reconstruction after wide excision of malignant tumor of lower lip. This operative method is safe, easy and has good result, but it is necessary to perform a secondary commissuroplasty because of round and small commissure. Several methods have been suggested for secondary commissuroplasty. We have performed commissuroplasty with three triangular flaps according to Ichiro's report.5 This method uses two opposing triangular mucosal flaps in the vermilion area and one small triangular skin flap on the commissure. We can obtain satisfactory results in terms of aesthetic and functional consideration. Thus, we report the usefulness of three triangular flaps as a secondary commissuroplasty after reconstruction of the lip by Estlander's method.
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