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Todd J. Rustad, MD; Duane O. Hartshorn, MD; Ross A. Clevens, MD; Timothy M. Johnson, MD; Shan R. Baker, MD

Arch Otolaryngol Head Neck Surg. 1998;124:1163-1166.

Objective  To review and report our experience with the subcutaneous pedicle flap in the reconstruction of defects adjacent to the melolabial crease.

Design  Retrospective review.

Setting  Cutaneous surgery unit of an academic tertiary referral center.

Patients  One hundred nine patients with defects of the lateral aspect of the upper lip, the medial aspect of the cheek, and the melolabial crease after Moh excision of cutaneous lesions.

Conclusions  In our experience, the subcutaneous pedicle advancement flap is often ideally suited to the reconstruction of cutaneous defects adjacent to the melolabial crease. We have been particularly satisfied with the results of this reconstructive technique when addressing deep defects adjoining the alar facial sulcus in patients with full cheeks.

From the Departments of Otolaryngology–Head and Neck Surgery (Drs Rustad, Hartshorn, Clevens, and Baker) and Dermatology (Dr Johnson), University of Michigan, Ann Arbor.