case_images: PMC9326193_01
case_images: Preoperative picture of a patient with partial vermilion and lip defect
case_images: NJMS-13-125-g001.jpg
case_images: PMC9326193_01_NJMS-13-125-g001.jpg
case_images: F1
case_images: A 17-year-old male sustained roadside facial injury in which his lower lip got injured and resulted in the partial defect of vermilion and lower lip [Figure 1].
case_images: The planned surgical technique
case_images: NJMS-13-125-g002.jpg
case_images: PMC9326193_01_NJMS-13-125-g002.jpg
case_images: F2
case_images: It is our novel technique of vermilion reconstruction [Figure 2].
case_images: Markings vestibular myomucosal flap. Transverse two lines in the flap were marked for de-epithelization of mucosa in the flap. Later the planning changed and the flap was not de-epithelized
case_images: NJMS-13-125-g003.jpg
case_images: PMC9326193_01_NJMS-13-125-g003.jpg
case_images: F3
case_images: An inferior labial vessel-based rectangular myomucosal vertical flap of 3 cm by 2 cm was elevated on the oral mucosa of lower lip extending from the vermilion above to the labial sulcus below, just posterior to the lower lip defect [Figure 3]. The lower end of the flap was turned upward and sutured with the margins of vermilion defect [Figure 3].
case_images: Small muscle flap raised from the floor of ant lip wound to cover the orocutaneous communication
case_images: NJMS-13-125-g004.jpg
case_images: PMC9326193_01_NJMS-13-125-g004.jpg
case_images: F4
case_images: A layer of orbicularis oris was dissected below the hole [Figure 4], as a small flap, and this flap was brought upward over the hole to cover it anteriorly and was stitched with the orbicularis oris of either side of the remaining vermilion.
case_images: Complete closure
case_images: NJMS-13-125-g005.jpg
case_images: PMC9326193_01_NJMS-13-125-g005.jpg
case_images: F5
case_images: A small transverse slit-like orocutaneous communication was left between the lower lip skin and the undersurface of labial flap [Figure 5].
case_images: Three-year follow-up mouth closed
case_images: NJMS-13-125-g006.jpg
case_images: PMC9326193_01_NJMS-13-125-g006.jpg
case_images: F6
case_images: It was functionally and esthetically a good repair, and the patient remained satisfied with the outcome of the surgery even after 3 years of follow-up [Figures 6 and 7].
case_images: Three years followup mouth open
case_images: NJMS-13-125-g007.jpg
case_images: PMC9326193_01_NJMS-13-125-g007.jpg
case_images: F7
case_images: It was functionally and esthetically a good repair, and the patient remained satisfied with the outcome of the surgery even after 3 years of follow-up [Figures 6 and 7].