PMID- 37141785
OWN - NLM
STAT- MEDLINE
DCOM- 20230529
LR  - 20230531
IS  - 1878-0539 (Electronic)
IS  - 1748-6815 (Linking)
VI  - 81
DP  - 2023 Jun
TI  - Tunneled island pedicle flap reconstruction for upper lateral cutaneous lip 
      defects.
PG  - 119-121
LID - S1748-6815(23)00216-4 [pii]
LID - 10.1016/j.bjps.2023.04.059 [doi]
AB  - BACKGROUND: Esthetic upper lateral cutaneous lip reconstruction preserves the 
      apical triangle, nasolabial fold symmetry, and free margin position. The tunneled 
      island pedicle flap (IPF) is a novel single-stage reconstruction to achieve these 
      goals. OBJECTIVES: Describe the technique and patient and surgeon-reported 
      outcomes for the tunneled IPF reconstruction of upper lateral cutaneous lip 
      defects. METHODS: Retrospective chart review of consecutive tunneled IPF 
      reconstruction following Mohs micrographic surgery (MMS) at a tertiary care 
      center between 2014 and 2020. Patients rated their scars using the validated 
      Patient Scar Assessment Scale (PSAS), and independent surgeons rated scars using 
      the validated Observer Scar Assessment Scale (OSAS). Descriptive statistics were 
      generated for patient demographics and tumor defect characteristics. RESULTS: 
      Twenty upper lateral cutaneous lip defects were repaired with the tunneled IPF. 
      Surgeons rated scars with a composite OSAS score of 11.83 +/- 4.29 (mean, SD) 
      [scale of 5 (normal skin) to 50 (worst scar imaginable)] and an overall scar 
      score of 2.81 +/- 1.11 [scale of 1 (normal skin) to 10 (worst scar imaginable)]. 
      Patients rated their scars with a composite PSAS score of 10 +/- 5.39 [scale of 6 
      (best possible score) to 60 (worst)] and with an overall score of 2.2 +/- 1.78 
      [scale of 1 (normal skin) and 10 (very different from normal skin)]. One flap was 
      surgically revised for pincushioning, but none experienced necrosis, hematoma, or 
      infection. CONCLUSIONS: The tunneled IPF is a single-stage reconstruction for 
      upper lateral cutaneous lip defects with favorable scar ratings by patients and 
      observers.
CI  - Copyright (c) 2023 British Association of Plastic, Reconstructive and Aesthetic 
      Surgeons. Published by Elsevier Ltd. All rights reserved.
FAU - Deitermann, A M
AU  - Deitermann AM
AD  - University of Minnesota Medical School, Minneapolis, MN, United States.
FAU - Lin, S K
AU  - Lin SK
AD  - Donald & Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, 
      NY, United States.
FAU - Nugent, S T
AU  - Nugent ST
AD  - Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, 
      United States.
FAU - Raj, L K
AU  - Raj LK
AD  - Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, 
      United States.
FAU - Beer, J
AU  - Beer J
AD  - Department of Dermatology, Tulane University School of Medicine, New Orleans, LA, 
      United States.
FAU - Perz, A
AU  - Perz A
AD  - Department of Dermatology, Boston University School of Medicine, Boston, MA, 
      United States.
FAU - Shin, T M
AU  - Shin TM
AD  - Department of Dermatology, Hospital of the University of Pennsylvania, 
      Philadelphia, PA, United States.
FAU - Sobanko, J F
AU  - Sobanko JF
AD  - Department of Dermatology, Hospital of the University of Pennsylvania, 
      Philadelphia, PA, United States.
FAU - Etzkorn, J R
AU  - Etzkorn JR
AD  - Department of Dermatology, Hospital of the University of Pennsylvania, 
      Philadelphia, PA, United States.
FAU - Miller, C J
AU  - Miller CJ
AD  - Department of Dermatology, Hospital of the University of Pennsylvania, 
      Philadelphia, PA, United States. Electronic address: 
      christopher.miller2@pennmedicine.upenn.edu.
LA  - eng
PT  - Journal Article
DEP - 20230423
PL  - Netherlands
TA  - J Plast Reconstr Aesthet Surg
JT  - Journal of plastic, reconstructive & aesthetic surgery : JPRAS
JID - 101264239
SB  - IM
MH  - Humans
MH  - *Lip/surgery
MH  - Cicatrix/etiology/surgery
MH  - Retrospective Studies
MH  - Surgical Flaps/surgery
MH  - *Sleep Apnea, Obstructive
OTO - NOTNLM
OT  - Lip
OT  - Mohs micrographic surgery
OT  - Nasolabial fold
OT  - Scar
OT  - Surgical flap
OT  - Tunneled island pedicle flap
COIS- Declaration of Competing Interest None.
EDAT- 2023/05/05 00:42
MHDA- 2023/05/29 06:42
CRDT- 2023/05/04 18:06
PHST- 2022/10/28 00:00 [received]
PHST- 2023/03/23 00:00 [revised]
PHST- 2023/04/18 00:00 [accepted]
PHST- 2023/05/29 06:42 [medline]
PHST- 2023/05/05 00:42 [pubmed]
PHST- 2023/05/04 18:06 [entrez]
AID - S1748-6815(23)00216-4 [pii]
AID - 10.1016/j.bjps.2023.04.059 [doi]
PST - ppublish
SO  - J Plast Reconstr Aesthet Surg. 2023 Jun;81:119-121. doi: 
      10.1016/j.bjps.2023.04.059. Epub 2023 Apr 23.