Acquired Lip Defects; Surgical Management

Abstract

Methodology: Large lip defects secondary to benign or malignant tumors which could not be closed primarily or involving more than one tissue layer were included. Patients with history of trauma or thermal injuries were excluded. Results: Twelve patients were included in the study. Mean age group was 57.4 years (34 to 75); male to female ratio 1.4: 1; oral commissure tissue deficiency (5 cases) was corrected with cheek advancement and rotation flaps; upper lip defects (3 cases) were reconstructed with cheek advancement and lip switch flaps; for lower lip repair (4 cases), Karapandzic flaps were the primary flaps utilized. Overall complication rate was 16.6%. Partial wound dehiscence was seen in one patient (8.3%). Significant microstomia requiring surgical correction was experienced in one patient. Conclusion: Lip reconstruction of acquired defects can be achieved with good functional results by proper planning and judicious use of remaining lip and local cheek tissue.