RT Journal Article
T1 Resection of upper lip adenoid cystic carcinoma and reconstruction with reverse Yu flap: Report of three cases and a literature review.
A1 Sanchez-Sanchez, Marta
A1 Infante-Cossio, Pedro
A1 Lozano-Rosado, Rodrigo
A1 Gonzalez-Perez, Luis-Miguel
A1 Japon-Rodriguez, Miguel-Angel
A1 Gonzalez-Padilla, Juan-David
A1 Martinez-Sahuquillo-Marquez, Angel
A1 Belmonte-Caro, Rodolfo
K1 Yu flap
K1 adenoid cystic carcinoma
K1 combined rotation and advancement flap
K1 lip reconstruction
K1 upper lip
AB The present study aimed to describe the techniques that were used, and the results obtained, with the reverse Yu flap to reconstruct medium-sized upper lip defects following resection for adenoid cystic carcinoma (ACC). Data concerning the clinical and pathological characteristics of tumours, the size and location of the defects, surgical resection and the reconstructive procedure used were evaluated in three patients, as well as postoperative complications and outcomes. In all cases, a complete surgical removal of ACC was achieved with clear margins of at least 1 cm. Histopathological features revealed two cases with a predominant solid growth pattern, and one case of cribriform. Following tumour excision, the average size of the upper lip defect was 35.7×30 mm. The reverse Yu flap was raised simultaneously with tumour resection in all cases. No flap failed, and both excellent aesthetic and functional results were obtained. All the patients had a satisfactory oral competence, without microstomia, after a median of 20 months follow-up (range, 12-30 months). Adjuvant radiation therapy was not necessary in any case. On the basis of the present case study and literature review, reverse Yu flap is revealed to be a simple and reliable technique for the reconstruction of defects ranging from one-third to two-thirds of the total upper lip length, involving the commissure, nasolabial fold and philtrum, with minimal donor morbidity and a good functional and aesthetic outcome. This flap appears to be a valid surgical option for reconstruction of medium-sized upper lip defects, which may be considered following radical excision of ACC.
SN 2049-9450
YR 2017
FD 2017-02-03
LK https://hdl.handle.net/10668/24885
UL https://hdl.handle.net/10668/24885
LA en
DS RISalud
RD Apr 17, 2025