Esthetic and Safe Lower Lip Reconstruction of an Asymmetric Defect Due to Cancer Resection: A Modified Webster Method Combined With a Nasolabial Flap

<p>Local tissues are best suited for lip reconstruction. The defect following cancer resection is often significant where standard methods are often suboptimal. Here we are presenting 3 such cases. Case 1, a 65 years old male post squamous cell carcinoma (SCC) resection with 50% defect of lower lip and a commissure, reconstructed with Estlander flap and a unilateral Karapandzik flap on opposite side. Case 2, a 35 years old male had a similar kind of defect, reconstructed with Estlander flap and step-plasty on opposite side. Case 3, a 70 years old female with 80% central lower lip defect post SCC resection, was reconstructed with bilateral Karapandzik flaps and an Abbe flap. Considering the significant size defect, all cases healed quite satisfactorily. They maintained their oral competence with negligent microstomia. The hybrid principle of combining various reconstructive techniques is highly recommended for major lip defects.</p><p> </p>

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TOTAL LOWER LIP RECONSTRUCTION WITH FOREARM FLAP ANCHORED ON ADAMS WIRES

10.26226/morressier.578e3b51d462b802923827d2 ◽

2016 ◽

Author(s):

Maciej Rysz

Keyword(s):

Lower Lip ◽

Lip Reconstruction ◽

Forearm Flap

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A case of repeated recurrence of intravascular papillary endothelial hyperplasia arising in the lower lip: Reconstruction using a local flap for a partial defect

Journal of Oral and Maxillofacial Surgery Medicine and Pathology ◽

10.1016/j.ajoms.2020.12.012 ◽

2021 ◽

Author(s):

Kazushige Koike ◽

Koyo Nishiyama ◽

Kazuhiro Ogi ◽

Hironari Dehari ◽

Kei Tsuchihashi ◽

...

Keyword(s):

Local Flap ◽

Intravascular Papillary Endothelial Hyperplasia ◽

Lower Lip ◽

Lip Reconstruction ◽

Papillary Endothelial Hyperplasia

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Composite Anterolateral Thigh???Fascia Lata Flap: A Good Alternative to Radial Forearm???Palmaris Longus Flap for Total Lower Lip Reconstruction

Plastic & Reconstructive Surgery ◽

10.1097/01.prs.0000210663.59939.02 ◽

2006 ◽

Vol 117 (6) ◽

pp. 2033-2041 ◽

Cited By ~ 41

Author(s):

Serkan Yildirim ◽

Kaan Gidero??lu ◽

Eser Aydogdu ◽

G??lden Avci ◽

Mithat Akan ◽

...

Keyword(s):

Good Alternative ◽

Fascia Lata ◽

Lower Lip ◽

Lip Reconstruction ◽

Palmaris Longus ◽

Anterolateral Thigh ◽

Radial Forearm

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Flap designs for lower lip reconstruction

Oral and Maxillofacial Surgery Clinics of North America ◽

10.1016/s1042-3699(03)00068-2 ◽

2003 ◽

Vol 15 (4) ◽

pp. 497-511 ◽

Cited By ~ 3

Author(s):

Robert A Ord ◽

Alexander E Pazoki

Keyword(s):

Lower Lip ◽

Lip Reconstruction

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Combined Karapandzic–Abbé/Estlander/Stein flap for subtotal and total lower lip reconstruction

Journal of Plastic Reconstructive & Aesthetic Surgery ◽

10.1016/j.bjps.2018.11.005 ◽

2019 ◽

Vol 72 (3) ◽

pp. 484-490 ◽

Cited By ~ 2

Author(s):

Vedran Uglesic ◽

Kavit Amin ◽

Emil Dediol ◽

Damir Kosutic

Keyword(s):

Lower Lip ◽

Lip Reconstruction

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Lip Shaving in Carcinoma Lower Lip and Reconstruction by Local Advancement Mucosal Flap Under Local Anesthesia: A Case Report

Volume 5 - 2020, Issue 9 - September - International Journal of Innovative Science and Research Technology ◽

10.38124/ijisrt20aug471 ◽

2020 ◽

Vol 5 (8) ◽

pp. 905-909

Author(s):

Tareq Mohammed ◽

Mamoon TB ◽

Md Sirajul Islam ◽

Md Aminul Islam ◽

Farid Uddin Milki ◽

...

Keyword(s):

Sun Exposure ◽

Squamous Cell Carcinomas ◽

Careful Planning ◽

Lower Lip ◽

Verbal Expression ◽

Lip Reconstruction ◽

Mucosal Flap ◽

The Face ◽

Extensive Surgery ◽

Oral Commissure

The lips are one of the most important features of the face; and are functionally and aesthetically very important. It serves as border of the oral commissure, provides access to oral cavity and contributes to oral competence. It is important for verbal expression and fundamental for facial expression and overall appearance of face1 . Excessive sun exposure and tobacco use, may develop cancer. The cancer can occur anywhere along the upper or lower lip, but is most common on the lower lip. Most lip cancers are squamous cell carcinomas. Surgery is the main stay of treatment and lip shave is an established modality for superficial lesion followed by reconstruction. Extensive surgery may be necessary for larger lesion. Careful planning and reconstruction can restore eating and speaking normally, and also achieve a satisfactory appearance after surgery. Evidence supports that the concept of lip reconstruction started as early as 1000 BC in the sacred texts of great Susruta, India2 . Lip mucosa is very special and it is recommended to reconstruct the surgical defect with lip tissue whenever possible, as any other tissue is never comparable or can replace the lip tissue3 . This is the example of this presented case.

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