Restoration of an Upper Lip Affected by Necrotizing Ulcerative Stomatitis Using Bilateral Cheek Advancement with a Crescentic Perialar Excision
- Authors
- Park, Yu Gil; Kim, Sang Hun; Park, Eun Soo
- Issue Date
- Jun-2018
- Publisher
- 대한미용성형외과학회
- Keywords
- Gingivitis necrotizing ulcerative; Noma; Reconstructive surgical procedures; Surgical flaps
- Citation
- Archives of Aesthetic Plastic Surgery, v.24, no.2, pp 87 - 90
- Pages
- 4
- Journal Title
- Archives of Aesthetic Plastic Surgery
- Volume
- 24
- Number
- 2
- Start Page
- 87
- End Page
- 90
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/5959
- DOI
- 10.14730/aaps.2018.24.2.87
- ISSN
- 2234-0831
2288-9337
- Abstract
- Necrotizing ulcerative stomatitis (NUS) refers to ulceration of the oral mucosa that precedes rapid orofacial soft- and hard-tissue destruction. NUS on the upper lip is considered a reconstructive challenge because of the functional importance and complex multidimensional structure of the facial units that are involved, and is most commonly found in developing countries. Therefore, few studies have been conducted on NUS. Moreover, reconstruction options vary from local regional flaps to free-tissue transfers. We report a very interesting case in which we performed regional flap surgery using bilateral cheek advancement in a patient with NUS. A 75-year-old woman with a history of diabetes mellitus and hypertension, but no other immunological diseases, presented with skin necrosis on the upper lip. At presentation, necrotic tissue covered the upper lip and philtrum, but it had not invaded the nose or lower lip. After debridement of the necrotic tissue, approximately 70% of the upper lip was missing. We therefore designed a bilateral cheek advancement and rotation flap, in which the flap was sutured in 3 layers. There was no need to perform additional procedures, as the flap healed well and showed no other complications or recurrence. The patient exhibited good voluntary muscle control and oral competence while eating and drinking, and she was also very satisfied with the cosmetic results. Thus, regional flap surgery using a simple advancement flap may result in good recovery of both functional and aesthetic units in patients with NUS.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Plastic Surgery > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.