Abstract
TALIACOTIUS (1597) illustrated the reconstruction of a lip with an upper arm flap; Dieffenbach (rg McGregor, 1972; Bretteville-Jensen, 1973; Karapandzic, 1974). Distant flaps, however, have no muscular element and thus provide no sphincteric control, while in my experience local flap reconstructions often give an aperture too small to insert dentures or permit normal eating. The neurovascular island flap to be described will reconstruct defects up to the whole of the lower lip, while even larger defects may be repaired by a flap from each side.
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