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Options for upper lip reconstruction: a survey-based analysis. Dermatol Surg 2008 Dec;34(12):1652-8

Date

11/21/2008

Pubmed ID

19018829

DOI

10.1111/j.1524-4725.2008.34342.x

Scopus ID

2-s2.0-57249116887   11 Citations

Abstract

BACKGROUND: Clinical factors such as size and location, but also surgeon experience and comfort level, may influence decisions in reconstructive methods.

OBJECTIVE: To survey a select group of surgeons for their reconstructive choices for a moderate-sized upper lip defect.

METHODS: Surveys were mailed to 313 facial plastic surgeons. Survey recipients were asked to rank reconstructive preferences for a specific upper lip defect. Response choices were correlated to predictor variables such as surgeon experience and comfort level.

RESULTS: Survey response was 45.6%. Cheek advancement flap was the first choice in 34.4%, followed by Abbé flap (31.2%), myocutaneous rotation flap (20.5%), and nasolabial flap (13.9%), with the nasolabial flap being statistically the least popular (p<.01). For surgeons with more than 20 years' experience and those with less than 10 years' experience, the Abbé flap was the most common first choice (38.9% and 32.4%, respectively). For surgeons with 11 to 20 years experience, the cheek advancement flap was the most common first choice (46.2%).

CONCLUSIONS: A poll of a select group of surgeons demonstrated variability in their choice of upper lip reconstruction options, although the nasolabial flap was found to be the least-chosen option. Trends in choices based upon experience and comfort level were demonstrated.

Author List

Martin TJ, Zhang Y, Rhee JS

Author

John S. Rhee MD Chair, Professor in the Otolaryngology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Humans
Lip
Practice Patterns, Physicians'
Reconstructive Surgical Procedures
Surgery, Plastic
Surgical Flaps
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