{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:38:31Z","timestamp":1740173911563,"version":"3.37.3"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T00:00:00Z","timestamp":1734480000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T00:00:00Z","timestamp":1734480000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100007950","name":"Tanta University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100007950","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Maxillofac Plast Reconstr Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Although more than 200 techniques have been reported for the reconstruction of the upper and lower lip defects since 1000 BC, none of them is ideal.<\/jats:p>\n                <jats:p>Local flaps may result in extra skin incisions and in some cases, the surgeon may be confronted with the lack of sufficient tissues for the reconstruction of large defects.<\/jats:p>\n                <jats:p>Several techniques have been described for near-total lip reconstruction. The two major available techniques are local flap reconstruction (Bernard\u2013von Burrow\u2013Webster technique) and free micro-vascular tissue transfer.<\/jats:p>\n                <jats:p>In this study, we are going to evaluate the functional results of using local muscles transposition-assisted dermal fat flap and muco-buccal flap in the treatment of large upper or lower lip defects.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and methods<\/jats:title>\n                <jats:p>This study was carried out on 128 patients, who presented to us with malignant tumors affecting the lips.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Lip defect sizes ranged from 4 to 6\u00a0cm in diameter. No flap failure was seen and desirable function and accepted esthetic results were obtained. The flap survival was 100%, and healing was eventful in all cases. No cases of microstomia were reported.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The use of local muscle transposition-assisted dermal fat flap and muco-buccal flap technique, showed excellent results in regaining oral competence and lip mobility, and as much as possible, increased the aesthetic outcome.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Level of evidence<\/jats:title>\n                <jats:p>IV therapeutic study.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40902-024-00450-9","type":"journal-article","created":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T09:02:51Z","timestamp":1734512571000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long-term evaluation of\u00a0Elmelegy\u2019s technique of local muscle transposition for the functional restoration of large upper or lower lip defects"],"prefix":"10.1186","volume":"46","author":[{"given":"Nader G.","family":"Elmelegy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,12,18]]},"reference":[{"issue":"1","key":"450_CR1","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1016\/j.joms.2017.06.015","volume":"76","author":"E Dediol","year":"2018","unstructured":"Dediol E, \u010cvrljevi\u0107 I, Dobrani\u0107 M, Ugle\u0161i\u0107 V (2018) Extended Karapandzic flap technique for reconstruction of lower lip and chin defect. 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The rules and principles of ethical and professional conduct have been followed in this study.Informed consent was taken from all patients who participated in the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The consent confirmed that all the data obtained from all individual participants for whom identifying information will be published in this article.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"41"}}