Case report: Reconstruction of congenital pigmented Nevus of the upper lip using an island FAMM flap

  • Lưu Phương Lan Bệnh viện Trung ương Quân đội 108
  • Lê Thị Hải Yến Bệnh viện Trung ương Quân đội 108

Main Article Content

Keywords

Facial artery musculomucosal flap, buccal flap, congenital upper lip nevus.

Abstract

Congenital vermilion nevus of upper lip extending  over more than one-third of the lip length is reconstructive challenge. Because it must be performed without upper lip deformity and utilize suitable material. This article presents the clinical case of a 10-year-old male patient with a congenital nevus affecting more than one-third of the right upper lip. We performed excision of the nevus and used an island facial artery musculomucosal flap (FAMM flap) to reconstruct the lip vermilion defect. The procedure resulted in a well-balanced upper lip contour, with primary closure of the donor site and no visible scarring after 16 months follow-up. Commissure revision or pedicle division were not required. This technique provides an effective solution for upper lip vermilion defects, achieving both optimal functional and aesthetic outcomes.

Article Details

References

1. Surej Kumar et al (2013) Oral Nevi Present Kiss Lesion Lip Case Rep. Journal of Dental and Medical Sciences 5(2): 16-18.
2. Hy L, Sy N, Ym S et al (2010) A malignant melanoma associated with a blue nevus of the lip. Annals of dermatology 22(1): 119-124.
3. Zhang WC, Liu Z, Zeng A et al (2020) Repair of cutaneous and mucosal upper lip defects using double V-Y advancement flaps. J Cosmet Dermatol 19(1): 211-217.
4 Tareck Ayad, Liyue Xie (2015) Facial artery musculomucosal flap in head and neck reconstruction: A systematic review. Head & neck 37(9): 1375-1386.
5. Olindo Massarelli et al (2013) Cheek mucosa: A versatile donor site of myomucosal flaps. Technical and functional considerations. Head & neck 35(1): 109-117.
6 Jj Pribaz et al (2000) Lip and vermilion reconstruction with the facial artery musculomucosal flap. Plastic and reconstructive surgery 105(3): 864-872.