Orbicularis Oris Flap
Applications
Coverage
Lip
Reconstruction
Lip and Oral Sphincter
Abbe Flap
Estlander Flap
Gillies Fan Flap
McGregor Flap
Karapandzic Flap302 Regional Flaps: Anatomy and Basic Techniques / Head and Neck
FEATURES
LOCATION: Circumference of mouth just deep to the lip mucosa and skin
sizes 1.5 x 8em
ORIGIN: Multiple origins from other facial muscles and structures
INSERTION: Lip skin and mucost
Flap Type: Muscle, musculocutaneous, and musculo-mucocutaneous
Pattern of Circulation: Type III
NERVE SUPPLY
MOTOR: Facial nerve
NSORY, UPPER LIP: Superior labial branches of maxillary division of trigeminal nerve
ENSORY, LOWER LIP: Buceal nerve and medial branches of inferior alveolar nerve, both
branches of mandibular division of trigeminal nerve
FUNCTION: These muscles function as the oral sphincter and are indispensable.Orbicularis Oris Flap
303
Dominant pedicles: Superior labal artery (D,| Inferrlabial artery (Ds)
VASCULAR ANATOMY: The muscle in the upper lip is supplied by the superior
Jabial artery. The muscle in the lower lip is supplied by the inferior labial artery.
Each lip has a left and a right superior and inferior labial artery, making this a type
M muscle flap.
Dominant Pedicle of Upper Lip: Superior labial artery
REGIONAL SOURCE Facial artery
DIAMETER: | mm
LOCATION; Lateral border of muscle at the angle of the mouth
Dominant Pedicle of Lower Lip: Inferior labial artery
;GIONAL SOURCE Facial artery
DIAMETER: 1 mm.
LOCATION: Lateral border of muscle at the angle of the mouth
Minor Pedicle of Lower Lip: Medial branch of inferior alveolar artery
REGIONAL SOURCE Inferior alveolar artery
LENGTH:3 cm
DIAMETER: Less than | mm
LOCATION: Inferomedial border of the muscle on each side