A modified Goldstein flap for leishmaniasis sequelae of the upper lip

Imen Mehri Turki

doi:10.5114/dr.2024.148413

eISSN: 2084-9893
ISSN: 0033-2526

Dermatology Review/Przegląd Dermatologiczny

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5/2024
vol. 111

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abstract:

Case report

A modified Goldstein flap for leishmaniasis sequelae of the upper lip

Imen Mehri Turki

¹

Reconstructive and Aesthetic Surgery Department Mohamed Tahar Maamouri University Hospital Nabeul, Tunisia

Dermatol Rev/Przegl Dermatol 2024, 111, 383-385

DOI: https://doi.org/10.5114/dr.2024.148413

Online publish date: 2025/02/25

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Introduction:
Despite the endemicity of cutaneous leishmaniasis, mucosal involvement remains rarely observed. Lip involvement causes mutilations of varying severity.

Objective:
This article aims to describe a novel technical repair of a partial thickness vermillion defect.

Case report:
A 27-year-old female patient asked us for cosmetic repair of visible leishmaniasis sequelae on the upper lip causing her discomfort due to difficult to hide defect of her red lip. Scar excision resulted in red lip defect repaired by two juxtaposed flaps, inspired by the Goldstein flap, allowing for successful results.

Conclusions:
Our proposal of a flap based on the superficial layer of the vascular network, inspired by the Goldstein flap, is a simple and reliable alternative to the repair of red lip defects providing optimal aesthetic and functional results. Flap harvest can be single or double depending on the area to be covered.

keywords:

Leishmaniasis, vascular network, upper lip, reconstruction, flap

Indeks osobowy

A modified Goldstein flap for leishmaniasis sequelae of the upper lip

Imen Mehri Turki 1

Leishmaniasis, vascular network, upper lip, reconstruction, flap

Imen Mehri Turki

¹