Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Visor flap for total upper and lower lip reconstruction: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Visor flap for total upper and lower lip reconstruction a case report Peter Nthumba and Louis Carter Address Department of Surgery AIC Kijabe Hospital Kijabe 00220 Kenya Africa Email PN - nthumba@ LC - llcartermd@ Corresponding author Received 20 May 2008 Accepted 22 January 2009 Published 9 June 2009 Journal ofMedical Case Reports 2009 3 7312 doi 1752-1947-3-7312 This article is available from http jmedicalcasereports article view 7312 2009 Nthumba and Carter licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Noma aptly named the face of poverty is a scourge with a mortality rate of up to 90 that affects some 140 000 people each year predominantly children in the sub-Saharan noma belt . Survivors of the acute attack suffer severe facial disfigurement from loss of facial tissue and scarring. Surgical reconstruction of noma defects is a major challenge especially in Africa where the majority of cases occur. Case presentation We report the case of a 40-year-old Somali man who presented with severe facial disfigurement including total absence of both upper and lower lips. After a failed initial reconstruction a combination of platysma flaps and a left deltopectoral flap provided mucosal lining while a scalp visor flap served to recreate upper and lower lips the beard and moustache. Conclusion The scalp visor flap offers a simple but extremely versatile tool for use in midfacial reconstruction especially in the male providing neo-lip tissue a moustache and a beard. This is the first report of a simultaneous total upper and lower lip reconstruction using a scalp visor flap in the English literature. We
