Abstract

The lips are complex, laminated structures consisting of skin, subcutaneous tissue, muscle, submucosa and mucosa. Clearly when the lip is lost through injury or disease, it presents a complex reconstructive challenge. The facial artery muscular mucosal flap (FAMM), harvested from lateral cheek, is a composite flap with many features which make it an excellent option for lip and vermilion reconstruction. The authors present a review of literature and a case of a 2-year-old girl with medial lower-lip vermilion avulsion, reconstructed with a FAMM flap.

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