Gillies Fan Flap 1976

This is a three-layer nasolabial flap cut around the ala (Fig. 6.28a). It provides enough tissue to fully reconstruct the lip. The flap is nourished by the labial ves-

Gillies Fan Flap

Fig. 6.25 Cheek rotation of

Blasius (1840).

a A two-layer rotation flap is cut from the cheek. The flap is slightly de-epithelialized in the area of the upper lip.

b The vestibular mucosa is mobilized and sutured to the new upper lip.

Fig. 6.25 Cheek rotation of

Blasius (1840).

a A two-layer rotation flap is cut from the cheek. The flap is slightly de-epithelialized in the area of the upper lip.

b The vestibular mucosa is mobilized and sutured to the new upper lip.

Fig. 6.26 Rotation flap of

Blasius (1840). The vermilion is reconstructed by advancing the upper lip vermilion of the intact side.

a Cutting the rotation flap and the mucosa of the lip stump. b The completed repair. (The rotation flap is epithelialized by advancing the upper lip vermilion (see Figs. 6.2 and 6.54).

Fig. 6.26 Rotation flap of

Blasius (1840). The vermilion is reconstructed by advancing the upper lip vermilion of the intact side.

a Cutting the rotation flap and the mucosa of the lip stump. b The completed repair. (The rotation flap is epithelialized by advancing the upper lip vermilion (see Figs. 6.2 and 6.54).

Fig. 6.27 Upper lip reconstruction of Weerda (see Fig. 6.20). a The left side is reconstructed with a two-layer bilobed flap. b The completed repair. A U-shaped cheek flap is advanced on the right side.

Gillies Fan Flap

Fig. 6.27 Upper lip reconstruction of Weerda (see Fig. 6.20). a The left side is reconstructed with a two-layer bilobed flap. b The completed repair. A U-shaped cheek flap is advanced on the right side.

Bilobed Flap

sels. The Gillies flap is usually cut in two layers, and the mucosa is mobilized toward the midline. The muscular ring around one or both commissures is rotated medially and closed (Fig. 6.28b, see also Fig. 6.45). A lateral Z-plasty gives the Gillies flap sufficient mobility (Fig. 6.28b). With a large defect, elongation of the oral fissure (see pp. 81, 82) may be done 3-4 weeks later as a secondary procedure.

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