Upper lip graft (ULG) for redo urethroplasties in children. A step by step video

Lower lip and cheek are commonly used sources of buccal mucosa grafts for urethroplasty. In recent years, aiming to improve the donor site morbidity, our preference changed to the use (ULG). The aim of this video is to illustrate the technical details of the ULG harvesting for children. The inner su...

Full description

Saved in:
Bibliographic Details
Published in:Journal of pediatric urology 2020-08, Vol.16 (4), p.510-511
Main Authors: Elifranji, Mohammed, Abbas, Tariq, Vallasciani, Santiago, Leslie, Bruno, Elkadhi, Abderrahman, Pippi Salle, Joao Luiz
Format: Article
Language:English
Subjects:
Buccal
Child
Donor site complication
Grafts
Humans
Lip
Mouth Mucosa - surgery
Pain
Redo hypospadias
Tissue and Organ Harvesting
Urethra - surgery
Urethral Stricture
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Lower lip and cheek are commonly used sources of buccal mucosa grafts for urethroplasty. In recent years, aiming to improve the donor site morbidity, our preference changed to the use (ULG). The aim of this video is to illustrate the technical details of the ULG harvesting for children. The inner surface of the upper lip is exposed by two stay sutures. The frenulum is spared, the mucosa to be harvested is marked and local submucosal infiltration is done with a solution of bupivacaine plus epinephrine. The edges are incised ant the submucosa plane created with a scissor. The graft is detached, defatted, and applied with quilting stitches over the recipient site with the standard technique. Hemostasis is secured and the donor site is left open. From 2015 to 2018, 25 ULG harvests were done in 24 patients. Only one (5%) presented local pain associated to the procedure in the first 24 h. After minimum 2 months after surgery, none of the patients presented perioral nubmness, difficulty with mouth opening, contraction of the donor site or changes in salivation. ULG harvest is easy and a suitable alternative source of oral mucosa for urethroplasty in children.
ISSN:1477-5131
1873-4898
DOI:10.1016/j.jpurol.2020.06.029