P.308 Lower lip reconstruction using the Abbe flap in a squamous cell carcinoma case

Introduction.Squamous cell carcinoma is a common tumour of lower lip. Small defects created by surgical resection may be readily reconstructed by linear closure or with local flaps. However, large tumours resection often results with microstomia and oral incompetence, drooling, and speech incomprehension. The goal of this study is to describe our experience with composite free radial forearm-palmaris longus tendon flap for total or near total lower lip reconstruction.Patients and Methods.This procedure was used in 5 patients with 80–100% lip defect resulting from Squamous cell carcinoma. Patients’ age ranged from 46 to 82 years. They are three male patients and two female. In 3 cases chin skin was reconstructed as well and in one case a 5 cm segment of mandible was reconstructed using radius bone. In one case where palmaris longus was missing hemi-flexor carpi radialis tendon was used instead. All patients tolerated the procedure well.Results.All flaps totally survived. No patient suffered from drooling. All patients regained normal diet and normal speech. Cosmetic result was fair to good in all patients accept one.Conclusion.We conclude that tendino-fasciocutaneous radial forearm flap for total lower lip reconstruction is safe. Functional and aesthetic result approaches reconstructive goals.

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Use of Bernard-Webster flap for lower lip reconstruction after excision of squamous cell carcinoma: analysis of functional results

Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery ◽

10.5935/2177-1235.2015rbcp0110 ◽

2015 ◽

Vol 30 (1) ◽

Author(s):

RAFAEL DENADAI ◽

GEYSON SOUZA SARMENTO ◽

CELSO LUIZ BUZZO ◽

CASSIO EDUARDO RAPOSO-AMARAL ◽

CESAR AUGUSTO RAPOSO-DO-AMARAL

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Functional Results ◽

Lower Lip ◽

Lip Reconstruction

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Revisiting the value of the ‘bandoneon’ flap for lower lip reconstruction: a report of two cases and outcome

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa082 ◽

2020 ◽

Vol 2020 (5) ◽

Author(s):

John M Le ◽

Sherry S Collawn

Keyword(s):

Squamous Cell Carcinoma ◽

Soft Tissue ◽

Basal Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Sensory Function ◽

Local Flaps ◽

Lower Lip ◽

Lip Reconstruction ◽

Common Skin

Abstract Mild- to moderate-sized lip defects that affect one- to two-thirds of the total lip length often require that utilization of local soft tissue rearrangement in order to re-establish lip anatomy, function and esthetics. The use of local flaps in lip reconstruction often follows oncologic resection of common skin malignancies including basal cell carcinoma and squamous cell carcinoma. When considering the types of flaps to use for lip defects of one- to two-third total length, a variety of flaps designs have been described, each with its benefits in drawbacks. In this article, we reintroduce the use and value of the bilateral mucomyocutaneous ‘bandoneon’ flaps for lower lip reconstruction in two of our patients. When compared with other flap designs, it can be used as a single-stage procedure with a very good esthetic outcome, minimal to no microstomia and preservation of lip competence and sensory function.

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Surgical wound reconstruction of the lower lip with Abbé flap after Mohs surgery for squamous cell carcinoma

Surgical & Cosmetic Dermatology ◽

10.5935/scd1984-8773.2015482 ◽

2015 ◽

Vol 7 (3) ◽

Author(s):

André Cesar Antiori Freire Pessanha ◽

Luiz Roberto Terzian ◽

Fernanda de Sousa Ferrara

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Surgical Wound ◽

Lower Lip ◽

Mohs Surgery ◽

Abbé Flap

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W-Modification of Abbe Flap after Mohs Surgery of Squamous Cell Carcinoma on the Lower Lip

Dermatologic Surgery ◽

10.1111/j.1524-4725.2007.33097.x ◽

2007 ◽

Vol 33 (4) ◽

pp. 485-487 ◽

Cited By ~ 2

Author(s):

KYU-KWANG WHANG ◽

MI-OK DO ◽

SANG-MIN LEE ◽

SEONG-HYUN KIM

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Lower Lip ◽

Mohs Surgery ◽

Abbé Flap

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Reconstruction of a large lower lip defect using a combination of Abbe and staircase flaps: a case report

Archives of Craniofacial Surgery ◽

10.7181/acfs.2021.00493 ◽

2021 ◽

Vol 22 (6) ◽

pp. 324-328

Author(s):

Bo Min Moon ◽

Woo Sik Pae

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Wide Resection ◽

Large Defect ◽

Lower Lip ◽

Sphincter Function ◽

Abbé Flap ◽

Reconstruction Option ◽

Lip Defect

Lip defects often occur following wide excision as a surgical treatment for squamous cell carcinoma of the oral cavity. Defects larger than one-half of the lip cannot be closed primarily and require flap surgery. Reconstruction of the oral sphincter function can be achieved by means of a local flap using the like tissue, rather than with a free flap utilizing different tissues. A defect of the lower lip requires reconstruction using different techniques, depending on its size and location. Herein, we present the case of a patient exhibiting a lip defect spanning more than two-thirds of the lower lip, after a wide resection due to squamous cell carcinoma. The defect was reconstructed using an Abbe flap and a staircase flap. Revision was performed after 16 days. The patient’s oral competencies were fully restored 3 months postoperatively, and the esthetic results were ideal. Based on our experience, a combination of the Abbe and staircase flaps can produce excellent functional and esthetic outcomes in the reconstruction of a lower lip with a large defect. It can serve as a reliable reconstruction option for defects spanning more than two-thirds of the lower lip, not including the oral commissures.

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