Lip Reconstruction
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Lip Reconstruction
Lip reconstruction may be required after trauma or surgical excision. The lips are considered the beginning of the oral cavity and are the most common site of oral cancer. Any reconstruction of the lips must include both functional and cosmetic considerations. The lips are necessary for speech, facial expression, and eating. Because of their prominent location on the face, even small abnormalities can be apparent. Relevant anatomy Superficial The upper and lower lips include the vermilion border. This is the juncture between the lighter skin and the redder tissue (vermilion) that we commonly call the lip. This tissue is red because the skin is thin and underlain by large numbers of capillaries. The vermilion is different both from the oral mucosa and from regular skin, as it includes a cornified stratum corneum and lacks salivary glands, unlike the oral mucosa, but is thinner and more vascularised than regular skin, and lacks both hair follicles and sweat glands. The patter ...
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Oral Cavity
In animal anatomy, the mouth, also known as the oral cavity, or in Latin cavum oris, is the opening through which many animals take in food and issue vocal sounds. It is also the cavity lying at the upper end of the alimentary canal, bounded on the outside by the lips and inside by the pharynx. In tetrapods, it contains the tongue and, except for some like birds, teeth. This cavity is also known as the buccal cavity, from the Latin ''bucca'' ("cheek"). Some animal phyla, including arthropods, molluscs and chordates, have a complete digestive system, with a mouth at one end and an anus at the other. Which end forms first in ontogeny is a criterion used to classify bilaterian animals into protostomes and deuterostomes. Development In the first multicellular animals, there was probably no mouth or gut and food particles were engulfed by the cells on the exterior surface by a process known as endocytosis. The particles became enclosed in vacuoles into which enzymes were secre ...
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Trigeminal Nerve
In neuroanatomy, the trigeminal nerve ( lit. ''triplet'' nerve), also known as the fifth cranial nerve, cranial nerve V, or simply CN V, is a cranial nerve responsible for sensation in the face and motor functions such as biting and chewing; it is the most complex of the cranial nerves. Its name ("trigeminal", ) derives from each of the two nerves (one on each side of the pons) having three major branches: the ophthalmic nerve (V), the maxillary nerve (V), and the mandibular nerve (V). The ophthalmic and maxillary nerves are purely sensory, whereas the mandibular nerve supplies motor as well as sensory (or "cutaneous") functions. Adding to the complexity of this nerve is that autonomic nerve fibers as well as special sensory fibers (taste) are contained within it. The motor division of the trigeminal nerve derives from the basal plate of the embryonic pons, and the sensory division originates in the cranial neural crest. Sensory information from the face and body is proc ...
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Mohs Surgery
Mohs surgery, developed in 1938 by a general surgeon, Frederic E. Mohs, is microscopically controlled surgery used to treat both common and rare types of skin cancer. During the surgery, after each removal of tissue and while the patient waits, the tissue is examined for cancer cells. That examination dictates the decision for additional tissue removal. Mohs surgery is the gold standard method for obtaining complete margin control during removal of a skin cancer (complete circumferential peripheral and deep margin assessment - CCPDMA) using frozen section histology. CCPDMA or Mohs surgery allows for the removal of a skin cancer with very narrow surgical margin and a high cure rate. The cure rate with Mohs surgery cited by most studies is between 97% and 99.8% for primary basal-cell carcinoma, the most common type of skin cancer. Mohs procedure is also used for squamous cell carcinoma, but with a lower cure rate. Recurrent basal-cell cancer has a lower cure rate with Mohs surgery ...
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Robert Abbe
Robert Abbe (April 13, 1851 – March 7, 1928) was an American surgeon and pioneer radiologist in New York City. He was born in New York City and educated at the College of the City of New York (S.B., 1871) and Columbia University (M.D., 1874). Abbe was most known as a plastic surgeon, and between 1877 and 1884 he served as a surgeon and professor of surgery at New York Hospital, St. Luke's Hospital, and artifacts_and_archeological.html" ;"title="Artifact_(archaeology).html" ;"title="Native Americans in the United States">Native American Artifact (archaeology)">artifacts and archeological">Artifact_(archaeology).html" ;"title="Native Americans in the United States">Native American Artifact (archaeology)">artifacts and archeological materials. He is credited with the lip switch flap, which now bears his name. An Italian surgeon named Sabattini described the flap 60 years earlier. Although Sabattini published his technique, it was printed in a book with a limited circ ...
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Squamous-cell Carcinoma
Squamous-cell carcinomas (SCCs), also known as epidermoid carcinomas, comprise a number of different types of cancer that begin in squamous cells. These cells form on the surface of the skin, on the lining of hollow organs in the body, and on the lining of the respiratory and digestive tracts. Common types include: * Squamous-cell skin cancer: A type of skin cancer * Squamous-cell carcinoma of the lung: A type of lung cancer * Squamous-cell thyroid carcinoma: A type of thyroid cancer * Esophageal squamous-cell carcinoma: A type of esophageal cancer * Squamous-cell carcinoma of the vagina: A type of vaginal cancer Despite sharing the name "squamous-cell carcinoma", the SCCs of different body sites can show differences in their presented symptoms, natural history, prognosis, and response to treatment. By body location Human papillomavirus infection has been associated with SCCs of the oropharynx, lung, fingers, and anogenital region. Head and neck cancer About 90% of cases ...
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Superior Labial Artery
The superior labial artery (superior labial branch of facial artery) is larger and more egregious than the inferior labial artery. It follows a similar course along the edge of the upper lip, lying between the mucous membrane and the orbicularis oris, and anastomoses with the artery of the opposite side. It supplies the upper lip, and gives off in its course two or three vessels which ascend to the nose; a septal branch ramifies on the nasal septum as far as the point of the nose, and an alar branch supplies the ala of the nose. See also *Kiesselbach's plexus Kiesselbach's plexus is an anastomotic arterial network (plexus) of four or five arteries in the nose supplying the nasal septum. It lies in the anterior inferior part of the septum known as Little's area, Kiesselbach's area, or Kiesselbach's tri ... Additional images File:Lateral head anatomy detail.jpg, Lateral head anatomy detail File:Head ap anatomy.jpg, Head anatomy anterior view File:Slide1bbbb.JPG, Superior la ...
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Facial Artery
The facial artery (external maxillary artery in older texts) is a branch of the external carotid artery that supplies structures of the superficial face. Structure The facial artery arises in the carotid triangle from the external carotid artery, a little above the lingual artery and, sheltered by the ramus of the mandible. It passes obliquely up beneath the digastric and stylohyoid muscles, over which it arches to enter a groove on the posterior surface of the submandibular gland. It then curves upward over the body of the mandible at the antero-inferior angle of the masseter; passes forward and upward across the cheek to the angle of the mouth, then ascends along the side of the nose, and ends at the medial commissure of the eye, under the name of the angular artery. The facial artery is remarkably tortuous. This is to accommodate itself to neck movements such as those of the pharynx in deglutition; and facial movements such as those of the mandible, lips, and cheeks. ...
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External Carotid Artery
The external carotid artery is a major artery of the head and neck. It arises from the common carotid artery when it splits into the external and internal carotid artery. External carotid artery supplies blood to the face and neck. Structure The external carotid artery begins at the upper border of thyroid cartilage, and curves, passing forward and upward, and then inclining backward to the space behind the neck of the mandible, where it divides into the superficial temporal and maxillary artery within the parotid gland. It rapidly diminishes in size as it travels up the neck, owing to the number and large size of its branches. At its origin, this artery is closer to the skin and more medial than the internal carotid, and is situated within the carotid triangle. Development In children, the external carotid artery is somewhat smaller than the internal carotid; but in the adult, the two vessels are of nearly equal size. Relations At the origin, external carotid artery is mo ...
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Facial Nerve
The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of facial expression, and functions in the conveyance of taste sensations from the anterior two-thirds of the tongue. The nerve typically travels from the pons through the facial canal in the temporal bone and exits the skull at the stylomastoid foramen. It arises from the brainstem from an area posterior to the cranial nerve VI (abducens nerve) and anterior to cranial nerve VIII (vestibulocochlear nerve). The facial nerve also supplies preganglionic parasympathetic fibers to several head and neck ganglia. The facial and intermediate nerves can be collectively referred to as the nervus intermediofacialis. The path of the facial nerve can be divided into six segments: # intracranial (cisternal) segment # meatal (canalicular) segment (within the internal auditory canal) # labyrinthine segment ...
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Oral Cancer
Oral cancer, also known as mouth cancer, is cancer of the lining of the lips, mouth, or upper throat. In the mouth, it most commonly starts as a painless white patch, that thickens, develops red patches, an ulcer, and continues to grow. When on the lips, it commonly looks like a persistent crusting ulcer that does not heal, and slowly grows. Other symptoms may include difficult or painful swallowing, new lumps or bumps in the neck, a swelling in the mouth, or a feeling of numbness in the mouth or lips. Risk factors include tobacco and alcohol use. Those who use both alcohol and tobacco have a 15 times greater risk of oral cancer than those who use neither. Other risk factors include HPV infection, chewing paan, and sun exposure on the lower lip. Oral cancer is a subgroup of head and neck cancers. Diagnosis is made by biopsy of the concerning area, followed by investigation with CT scan, MRI, PET scan, and examination to determine if it has spread to distant parts of the body. ...
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Orbicularis Oris
In human anatomy, the orbicularis oris muscle is a complex of muscles in the lips that encircles the mouth. It is a sphincter, or circular muscle, but it is actually composed of four independent quadrants that interlace and give only an appearance of circularity.Saladin, "Anatomy & Physiology: The Unity of Form and Function". 5th edition. McGraw Hill. Page 330 It is also one of the muscles used in the playing of all brass instruments and some woodwind instruments. This muscle closes the mouth and puckers the lips when it contracts. Structure The orbicularis oris is not a simple sphincter muscle like the orbicularis oculi; it consists of numerous strata of muscular fibers surrounding the orifice of the mouth, but having different direction. It consists partly of fibers derived from the other facial muscles which are inserted into the lips, and partly of fibers proper to the lips. Of the former, a considerable number are derived from the buccinator and form the deeper stratum of th ...
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Philtrum
The philtrum ( la, philtrum from Ancient Greek ''phíltron,'' lit. "love charm"), or medial cleft, is a vertical indentation in the middle area of the upper lip, common to therian mammals, extending in humans from the nasal septum to the tubercle of the upper lip. Together with a glandular rhinarium and slit-like nostrils, it is believed to constitute the primitive condition for at least therian mammals. Monotremes lack a philtrum, though this could be due to the specialised, beak-like jaws in living species. Function In most mammals, the philtrum is a narrow groove that may carry dissolved odorants from the rhinarium or nose pad to the vomeronasal organ via ducts inside the mouth. For humans and most primates, the philtrum survives only as a vestigial medial depression between the nose and upper lip. The human philtrum, bordered by ridges, is also known as the ''infranasal depression'', but has no apparent function. That may be because most higher primates rely more on vision ...
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