Objective: To evaluate the treatment options available for reconstruction of lower lip following tumor resection with regard to applicability, reliability, functional standpoint and complications.
Study Design: A descriptive case series.
Setting & Duration: Department of Plastic and Reconstructive Surgery, Liaquat University of Medical and Health Science, Jamshoro from January 1998 to December 2007.
Methodology: All cases of lower lip reconstruction secondary to biopsy proven squamous cell carcinoma resection were analyzed. The functional aspects of the reconstruction were reviewed in terms of the size of the oral stoma and preservation of oral competence. The esthetic outcome was assessed and in addition the symmetry of the commissure at rest and function. The complications were noted along with routine oncological follow-up.
Results: The age of the patients ranged from 26 to 81 years and there were 57(43.31%) males and 19(14.44%) females. Karapandzic flap was done in 12 patients (15.78%), bilateral Karapandzic flap was done in 11 cases (14.47%). Abbe flaps were performed in 14 cases (18.42%), while 6 other cases (7.89%) were reconstructed with bilateral fan flaps. Bilateral Webster techniques and mucosal advancement was used in 6 cases (7.89%).
Conclusion: Early detection is essential for the successful treatment of squamous cell carcinoma of lower lip. To re-establish function and appearance, and to achieve best possible results residual normal lip tissues should be included in reconstruction
Published in Pakistan Journal of Surgery