Use of Biologic Agents for Lip and Cheek Reconstruction

Monal Depani; Andrew M. Ferry; Andrew E. Grush; Tanir A. Moreno; Lloyd M. Jones; James F. Thornton

doi:10.1055/s-0041-1741399

Seminars in Plastic Surgery, Table of Contents

Semin Plast Surg 2022; 36(01): 026-032
DOI: 10.1055/s-0041-1741399

Review Article

Use of Biologic Agents for Lip and Cheek Reconstruction

Monal Depani

¹Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

,

Andrew M. Ferry

²Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

³Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas

,

Andrew E. Grush

²Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

³Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas

,

Tanir A. Moreno

²Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

,

Lloyd M. Jones

²Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

³Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas

,

James F. Thornton

¹Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

› Author Affiliations

Abstract

The unique requirements of reconstructing cheek defects, often with its proximity to the mobile elements of the face including the lip and the eyelid, have been met very handily with the directed and thoughtful use of biologic wound healing agents. One of the key advantages of these agents is their ability to provide coverage for the mobile elements of the cheek and the lip in patients with multiple co-morbidities. These agents are successfully used where the standard cheek closure techniques including cervicofacial advancement flap are contraindicated due to its anesthetic requirement. Additionally, lip reconstruction involves examining the lip's three anatomic layers: mucosa, muscle, and skin. The defects must be planned for reconstruction based on the involvement of these layers. This paper serves to introduce the use of biologic wound healing agents depending on the involvement of these layers. The authors provide specific illustrations of these agents based on defect location, tissue involvement, and severity of the defect to help with procedural planning to reconstruct a very aesthetically involved part of the face.

Keywords

plastic surgery - Mohs micrographic surgery - reconstruction - lip - cheek - Integra

Full Text

References

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