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

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

Journal of Cranio-Maxillofacial Surgery ◽

10.1016/s1010-5182(06)60813-5 ◽

2006 ◽

Vol 34 ◽

pp. 210

Author(s):

R. Amaral Mendes ◽

S. Evelhoch

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Lower Lip ◽

Lip Reconstruction ◽

Squamous Cell Carcinoma Case ◽

Abbé Flap

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Fan flaps for Cheiloplasty (lower lip reconstruction): A two year experience

Indian Journal of Plastic Surgery ◽

10.1055/s-0039-1699149 ◽

2006 ◽

Vol 39 (02) ◽

pp. 163-166

Author(s):

T.M. Sheeja Rajan ◽

Saramma Varughese ◽

S. Jagadeesh

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Functional Results ◽

Defect Size ◽

Lower Lip ◽

Lip Reconstruction ◽

Form And Function ◽

The Past ◽

Functional Perspective ◽

And Function

ABSTRACT Aim:To evaluate the fan flaps done during the past two years with regard to applicability, reliability, functional perspective and complications.Materials and Methods:All the fan flaps done were reviewed by inspecting case records and directly following up the patients (at periodic intervals). The indications, applicability to defect size, postoperative aesthetic and functional results and drawbacks were noted.Results: Eight fan flaps were done during this period. All were done for squamous cell carcinoma affecting lower lip. All the flaps survived. Two early cases of Gilles fan flap developed significant microstomia. Later flaps with neurovascular preservation maintained sensations with good commissural competence. Nakajima fan flaps gave good overall results.Conclusions: The fan flaps, especially the Nakajima modification with neurovascular preservation are safe and reliable flaps for lip reconstruction in terms of form and function.

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Reconstruction of a Lower Lip Defect with Bilateral Nasolabial Musculocutaneous Flap. Case Report

Acta Medica Transilvanica ◽

10.2478/amtsb-2020-0047 ◽

2020 ◽

Vol 25 (3) ◽

pp. 36-38

Author(s):

Alina Helgiu

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Functional Results ◽

Radical Excision ◽

Nasolabial Flap ◽

Immediate Reconstruction ◽

Large Defect ◽

Complete Excision ◽

Lower Lip

AbstractSquamous cell carcinoma is the most common form of malignant tumour in the lower lip and its radical excision sometimes leads to complex defects. The treatment of squamous cell carcinoma of the lower lip is mainly surgical and consists of complete excision of the tumour, followed by immediate reconstruction. Although the nasolabial flap is a common flap used in the reconstruction of facial defects, it is an underestimated option in the reconstruction of the lower lip. We describe the reconstruction of a large defect of the lower lip that includes the bilateral commissures and ¼ of the upper lip, left side, in a 76-year-old male patient. Bilateral musculocutaneous nasolabial flap was used, with good functional results and an acceptable cosmetic result. We believe that the nasolabial flap is a good alternative for large lip defects both for patients with an affected general condition, but also as an alternative to existing flaps.

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Squamous Cell Carcinoma of the Lower Lip in an Old Black African Woman

Journal of Advanced Plastic Surgery Research ◽

10.31907/2414-2093.2015.01.8 ◽

2015 ◽

Vol 1 (1) ◽

pp. 34-37

Author(s):

K. Kassi ◽

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Regional Lymph Node ◽

Limited Resource ◽

Surgical Excision ◽

Functional Results ◽

African Woman ◽

Preventive Strategy ◽

Lower Lip

Squamous cell carcinoma (SCC) of the lower lip is the most frequent cancer of the oral cavity in the elderly. The potential etiologic factors are pipe-smoking, tobacco-chewing and chronic alcohol consumption. They grow slowly and are easily diagnosed. But, they can lead to functional, esthetical complications and to death when diagnosed and treated lately. Here, we report a case of SCC of the lower lip in a black woman aged of 82 year-old evolving for 10 years, associated with tobacco use for over 40 years. The clinical examination noted: a large, bourgeoning and ulcerated tumor covering the 2/3 part of the lower lip with irregular raised indurate borders which bleed when traumatized, without regional lymph node and distant metastasis. The patient was treated by wide surgical excision associated with V to Y advancement flap added to nasolabial island flap, and healed within 4 weeks, with good aesthetic and functional results without any recurrences after 2 years follow up time. The late diagnosis of SCC makes its treatment difficult and expensive in limited resource countries like Côte d’Ivoire. Therefore, it is necessary to set up a preventive strategy to detect the disease in its initial stage to promptly institute effective and efficient care. Keywords: Lip squamous cell carcinoma, Surgical treatment, Local flaps.

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Lower lip reconstruction using a skin-mucosa Abbe-Estlander flap after squamous cell carcinoma excision

Anais Brasileiros de Dermatologia ◽

10.1590/abd1806-4841.20175269 ◽

2017 ◽

Vol 92 (2) ◽

pp. 260-262 ◽

Cited By ~ 1

Author(s):

Husein Husein-ElAhmed ◽

Rafael Armijo-Lozano

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Lower Lip ◽

Lip Reconstruction ◽

Skin Mucosa

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Squamous Cell Carcinoma Arising on a Congenital Fissure of the Lower Lip

Dermatology ◽

10.1159/000248023 ◽

1990 ◽

Vol 180 (3) ◽

pp. 171-173 ◽

Cited By ~ 3

Author(s):

S. Serrano ◽

J. Aneiros ◽

F. O’Valle ◽

C. Martinez

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Lower Lip

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Expression of Glucose Transporters 1 and 3 in Metastatic and Non-Metastatic Lower Lip Squamous Cell Carcinoma

Brazilian Dental Journal ◽

10.1590/0103-6440201300054 ◽

2014 ◽

Vol 25 (5) ◽

pp. 372-378 ◽

Cited By ~ 4

Author(s):

Clarissa Favero Demeda ◽

Cyntia Helena Pereira de Carvalho ◽

Ana Rafaela Luz de Aquino ◽

Cassiano Francisco Weege Nonaka ◽

Lélia Batista de Souza ◽

...

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Glucose Uptake ◽

Squamous Cell ◽

Histological Grade ◽

Glucose Transporters ◽

Nodal Metastasis ◽

Invasive Front ◽

Lower Lip ◽

Glut 1

This study aimed to evaluate the immunoexpression of glucose transporters 1 (GLUT-1) and 3 (GLUT-3) in metastatic and non-metastatic lower lip squamous cell carcinoma (LLSCC). Twenty LLSCCs with regional nodal metastasis and 20 LLSCCs without metastasis were selected. The distribution of staining and the percentage of GLUT-1 and GLUT-3 staining in each tumor core and at the deep invasive front were assessed. Most tumors (70%) exhibited peripheral staining for GLUT-1 in nests, sheets and islands of neoplastic cells, whereas predominantly central staining was observed for GLUT-3 (72.5%). A high percentage of GLUT-1-positive cells was observed at the deep invasive front and in the tumor core of metastatic and non-metastatic tumors (p>0.05). The percentage of GLUT-1-positive cells was much higher than that of GLUT-3-positive cells both in the deep invasive front (p<0.001) and in the tumor core (p<0.001) of LLSCCs. No significant differences in the percentage of GLUT-1- and GLUT-3-positive cells were observed according to nodal metastasis, clinical stage or histological grade of malignancy (p>0.05). In conclusion, the results of the present study suggest an important role of GLUT-1 in glucose uptake in LLSCCs, although this protein does not seem to be involved in the progression of these tumors. On the other hand, GLUT-3 expression may represent a secondary glucose uptake mechanism in LLSCCs.

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