Reconstruction for Defects of the Lower Lip After Tumor Ablation

Zhai, Qin-kai; Tan, Xiaoheng; Jin, Zhaohui; Wang, Xukai; Sun, Changfu

doi:10.1097/scs.0b013e318232a7aa

Cited by 6 publications

(4 citation statements)

References 9 publications

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“…Our patient has not experienced any difficulty in phonation or lip incompetence up to three-month postoperative follow-up. The integrity of the muscle function after the surgery has been well documented in a previous study by Zhai et al17. As demonstrated by our case, restoration of adequate lip function and its natural positioning traditionally embodies a two-stage procedure with the commissuroplasty step performed three weeks after the flap insetting, although a handful of authors have reported success with single-stage techniques1819.…”

Section: Discussionsupporting

confidence: 71%

Transoral Cross-Lip (Abbé-Estlander) Flap as a Viable and Effective Reconstructive Option in Middle Lower Lip Defect Reconstruction

et al. 2017

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The Abbé-Estlander flap surgery is a cross-lip procedure that is valuable in repairing a defect on the lower lip using a full-thickness flap, consisting of the skin, muscle and mucosa, from the upper lip. As usefulness and practicality of the flap in reconstruction of lower lip surgical defects in Asian ethnicity have not been documented, the authors present a case of successful lower lip reconstruction with a staged, Abbé-Estlander lip switching flap with commissuroplasty as an illustrative example. A 71-year-old male has presented with an ulcerating lip nodule in the middle one third of the lower lip, measuring about 1.5×2 cm across its long and short axes. Wide excision of the tumor was followed by delineation of the triangular Abbé-Estlander flap from the upper lip, in which the medial hinge point of the base was chosen as the pedicle. Then, the flap elevation was carried out from the lateral commissure and then was transferred into the lower lip defect. Three weeks later, commissuroplasty was performed to correct the rounding at the new commissure. The patient is currently performing his daily activities with no apparent compromise in orbicularis oris strength or oral continence. Given the size of the primary defect and the flap-to-defect ratio of size, the degree of microstomia was acceptable. Even with other myriad of reconstructive options at surgeons' disposal, the Abbé-Estlander lip-switching flap is a reliable, and less morbid method of lower lip reconstruction for Asian surgical candidates. The authors illustrate an exemplary case in which a relatively large lower lip defect was successfully repaired using an upper lip flap of a significantly smaller size in an Asian subject of advanced age, without any remarkable long term sequelae which have traditionally been associated with the trans-oral lip switching flap technique.

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Section: Discussionsupporting

confidence: 71%

Transoral Cross-Lip (Abbé-Estlander) Flap as a Viable and Effective Reconstructive Option in Middle Lower Lip Defect Reconstruction

et al. 2017

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“…13 Lower lip defects more than 2/3 and central defects can also be reconstructed with Webster-Bernard technique, Gillies fan flap and Abbe-Estlander flap, or even the radial forearm free flap and the anterolateral thigh free flap. 4,14 However, a variety of shortcomings had been noted in surgical approach to repairing larger lower lip defects, and there is no consensus regarding which techniques are the best. Abbe flap needs the secondary surgery for pedicle division of flap and the surgical procedure is relatively complex and time-consuming.…”

Section: Discussionmentioning

confidence: 99%

“…Abbe flap, Karapandzic flap, Estlander flap, Bernard–Webster flap, and other various modified flaps are some of the techniques currently used 13 . Lower lip defects more than 2/3 and central defects can also be reconstructed with Webster–Bernard technique, Gillies fan flap and Abbe–Estlander flap, or even the radial forearm free flap and the anterolateral thigh free flap 4,14 . However, a variety of shortcomings had been noted in surgical approach to repairing larger lower lip defects, and there is no consensus regarding which techniques are the best.…”

Section: Discussionmentioning

confidence: 99%

Full‐thickness nasolabial facial artery flap: A modified surgical approach for reconstruction of lower lip defects

Kang,

Ma,

et al. 2024

Head & Neck

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ObjectivesReconstruction of large lower lip defects remains challenging in terms of aesthetics, function and safety. The aim of this study is to explore a modified nasolabial flap to repair large lower lip defects.MethodsThe full‐thickness nasolabial facial artery flap was used for reconstruction of defects in lip squamous cell carcinoma (LSCC) patients after tumor ablation. The postoperative recovery of patients was obtained through clinical review and follow‐up in the first and sixth month.ResultsThere were four LSCC patients who received tumor ablation at the Beijing Stomatological Hospital of Capital Medical University from November 2022 to March 2023, were included in our study. All patients did not suffer from postoperative infection, orocutaneous fistula, flap necrosis, and flap loss. One patient had the trapdoor deformity. These patients achieved better lip closure function. One patient developed cervical lymph node metastasis 2 months after surgery.ConclusionsThe modified nasolabial flap could achieve good outcomes in terms of aesthetics, function, and safety. It provided a supplementary strategy for the using of nasolabial flap in larger defects of lower lip.

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“…Lip cancer has been described by some authors as one of the most common head and neck cancers, compromising approximately 25-35% of all cases in this region 24 . In this study, lip cancer was the second most frequent, affecting 14.8% of all cases, which might be explained by our geographic region, skin colour, and frequent sun exposure, as one of the main aetiological factors of lip cancer is longterm exposure to ultraviolet (UV) radiation and fair skin 25 .…”

Section: Discussionmentioning

confidence: 99%

Clinicopathological parameters of oral squamous cell carcinoma in Florianópolis

Martini¹,

<²,

Bordignon³

et al. 2019

J Oral Diag

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Oral squamous cell carcinoma (OSCC) is one of the most common cancers and presents the highest mortality rate of head and neck tumours. The aim of this study was to evaluate the clinical and histological features of patients with OSCC in Florianópolis, Santa Catarina, Brazil between 2006 and. Demographic and clinical characteristics such as age, gender, tobacco and alcohol consumption, anatomical site, clinical stage, and treatment were retrospectively collected from histopathological and medical reports. Of 196 patients with OSCC, 82.14% were male with a mean age of 58.28±10.45 years. Tobacco and alcohol consumption was reported in 88.76% and 75.9% of patients, respectively. The tongue was the anatomical site most affected (25.13%) and ulcers were the most prevalent clinical aspect (95.21%). A total of 103 (52.55%) patients were diagnosed with advanced stage (III/IV). Regarding treatment, 59.24% received more than one type of therapy, while 39.67% were treated exclusively with surgery. Regarding histological differentiation, 72.9% of the cases were moderately/poorly differentiated, 23.8% had vascular invasion, 17.9% had lymphatic invasion, and perineural invasion was observed in 29.5% of the patients. The survival rate showed a worse prognosis for patients diagnosed at stage III/ IV and the primary tumour was located in the inferior level of the mouth in 80% of these cases. The results showed that the majority of cases were diagnosed at an advanced stage, compromising treatment and prognosis. Educational and preventive measures should be improved in an effort to allow for early diagnosis.

show abstract

Reconstruction for Defects of the Lower Lip After Tumor Ablation

Abstract: Successful reconstruction of all defects can be attained, if as many surgical procedures as possible have been mastered, and a more proper means used.

Cited by 6 publications

References 9 publications

Transoral Cross-Lip (Abbé-Estlander) Flap as a Viable and Effective Reconstructive Option in Middle Lower Lip Defect Reconstruction

Transoral Cross-Lip (Abbé-Estlander) Flap as a Viable and Effective Reconstructive Option in Middle Lower Lip Defect Reconstruction

Full‐thickness nasolabial facial artery flap: A modified surgical approach for reconstruction of lower lip defects

Clinicopathological parameters of oral squamous cell carcinoma in Florianópolis

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