Abstract
Lesões labiais extensas sempre representaram um desafio para a cirurgia plástica. Não existe técnica ideal para reconstrução labial. Neste artigo são relatados os casos de 2 pacientes que apresentavam grandes defeitos no lábio inferior, acometendo 80% e 60% da superfície dessa estrutura, após traumatismo lacerocontuso e ressecção de tumor epidermoide, respectivamente. Esses pacientes foram submetidos a reconstrução labial pela técnica de Karapandzic¹, descrita em 1974. No primeiro caso, o resultado foi considerado desfavorável, em decorrência da presença de deiscência. No segundo caso, foi obtido bom resultado estético e funcional, sem sofrimento dos retalhos ou hematomas. A técnica de Karapandzic constitui uma opção de fácil execução e reprodutível, apresentando bons resultados estéticos e funcionais.
Highlights
In terms of aesthetics and functionality, the face is an important human attribute, being the most visible portion of the body with delicate and complex structures
Reconstruction of extensive labral lesions has always been a challenge for plastic sur geons
This report includes 2 cases of large lower lip defects, affecting 80% and 60% of the surface structure that resulted from laceration/contusion trauma and epidermal tumor resection, respectively
Summary
In terms of aesthetics and functionality, the face is an important human attribute, being the most visible portion of the body with delicate and complex structures. The upper and lower lips constitute the oral orifice and are responsible for a number of bodily functions such as speech articulat ion, mastication, facial mimicry, and salivary continence. 2. Plastic surgeon, full member of the SBCP, preceptor of the Department of Plastic Surgery; Dr Ewaldo Bolívar de Souza Pinto, UNISANTA, Santos, SP, Brazil. 3. Plastic surgeon, full member of the SBCP, preceptor of the Plastic Surgery; Dr Ewaldo Bolívar de Souza Pinto, UNISANTA, Santos, SP, Brazil. 4. Plastic surgeon, full member of the SBCP, regent of the Department of Plastic Surgery; Dr Ewaldo Bolívar de Souza Pinto, UNISANTA, Santos, SP, Brazil. Full member of the SBCP, director of the postgraduate course in plastic surgery, Universidade Santa Cecilia UNISANTA, Santos, SP, Brazil
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