Each day you lift my spirit, should you sit or stand; Oh I wish that I could win your love, your heart, your hand. My admirer was certainly ramping up the intensity and passion and had also told me that he was a fellow rail commuter I always board the third carriage of the train on the basis that it is reasonably close to the front of the train, and hence the exit at the London Victoria terminus, but also gives the possibility of obtaining a seat two or three days out of five.
Can J Plast Surg. English French A new technique for one-stage total lower lip reconstruction: Telephonefaxe-mail moc. Reconstruction of extensive lower lip defects is difficult. The authors describe a new technique of one-stage total lower lip reconstruction, with the ultimate goal being achievement of the delicate balance between adequate mouth opening and competent mouth closure, with satisfactory aesthetic outcome.
The authors applied their new reconstructive technique in a patient with extensive lower lip defect following excision of squamous cell carcinoma.
Bilateral inferiorly based nasolabial flaps were used for reconstruction of lower lip. For vermillion reconstruction, a bucket-handle mucomuscular flap from upper lip was designed primarily using the pars marginalis portion of orbicularis oris. Compared with previously described techniques, this procedure is unique with respect to the alignment of the nasolabial flaps in relation to one another.
Furthermore, this technique of vermillion reconstruction is a one-stage procedure with minimal morbidity, enables preservation of the vascular pedicle and innervation and maintains the orientation of orbicularis oris, thus providing a competent oral sphincter.
The functional and aesthetic outcomes are satisfactory on follow-up, with normal lip movements and sensation, adequate mouth opening and oral competence, good colour and texture match with adjacent tissues, and excellent volume and quality of the vermillion. No subsequent corrective surgery is required.
This technique is simple and achieves the main goals of total lower lip reconstruction in a single stage with minimal morbidity. The reconstructive surgeon is often faced with the task of reconstructing extensive lower lip defects resulting from the excision of malignant lesions, notably squamous cell carcinoma.
The goals of lower lip reconstruction are: The ultimate aim is to achieve a balance between adequate mouth opening and competent mouth closure, which is vital to the patient.
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Local flaps are the mainstays for reconstruction of lip defects, although free flaps may also be used for more extensive defects. Reconstruction using local flaps achieves better functional and aesthetic results compared with free flaps 1. In the present article, we describe a new technique for total lower lip reconstruction, including single-stage reconstruction of the vermillion.
Biopsy of the lip tumour revealed well-differentiated squamous cell carcinoma. There was no evidence of distant metastasis. Surgical excision and lower lip reconstruction, together with bilateral modified radical neck dissection, were planned.The Tangles of Neaera's Hair [November 1, ] It seems remarkable that this year had no October.
After making and breaking a number of appointments I finally got the propeller balanced per the recommendation of Art at Able Air back in June. The latest research papers are published online ahead of their compilation in a monthly compendium.
These online versions are the final, definitive publication . In animation "lip-flap" is the term for the movement a character's mouth makes when it speaks. Which video editing software to use for simple tasks.
Jan 30, · For help and discussion about specific video editing systems like Adobe software, to mask out any lip flap. Top. What is the Best Video Editor for Lip Syncing?
Latest breaking news, including politics, crime and celebrity. Find stories, updates and expert opinion. A new technique for one-stage total lower lip reconstruction: Achieving The muco-muscular upper lip flap used in this technique is designed in such a manner that.