Squamous cell carcinoma (SCC) of the lower lip is a
frequently diagnosed malignant pathology in the maxillofacial region. It is a
slow-growing cancer, and can be diagnosed and treated easily and effectively;
however, early treatment is important because its mortality rate is 10%-30%.
Reconstruction for a large lower lip defect is surgically challenging, especially
reconstruction with local flaps. Here, we present a 52-year-old male with a
large T3 SCC, which started 13 years before this treatment and involved nearly
all of his lower lip, oral commissure and upper lip. It was reconstructed by
local flaps with good aesthetic and functional results. The lip was reconstructed
with a combination of a Karapandzic flap on one side and a contralateral
Webster cheek advancement, using a functional neck dissection on the tumor
side and supraomohyoid neck dissection contralaterally. Histopathology
results of the neck were negative for metastasis. We were satisfied with the
aesthetic and functional results of the neck.
Cite this paper
Loxha, M. , Gjinolli, F. , Sejfija, O. , Rexhepi, A. and Agani, Z. (2013) One stage reconstruction of large lower lip carcinoma, with local flaps. Open Journal of Stomatology
, 344-346. doi: 10.4236/ojst.2013.37058
 Baker, S.R. and Krause, C.J. (1980) Carcinoma of the lip. Laryngoscope, 90, 19-27.http://dx.doi.org/10.1288/00005537-198001000-00002
 Dos Santos, L.R., Cernea, C.R., Kowalski, L.P., Carneiro, P.C., Soto, M.N., Nishio, S., et al. (1996) Squamous cell carcinoma of lower lip: Retrospective study of 58 patients. Sao Paulo Medical Journal, 114, 1117-1126.
 Salihu, S., Sejfija, O., Gjinolli, F., Prekazi, M., Heta, N., Berisha, S., et al. (2008) Ten-year survival with squamous cell carcinoma of lower lip. Journal of CranioMaxillofacial Surgery, 36, S130.
 Current guidelines (2013)http://www.nccn.org/professionals/physician_gls/pdf/head-and-neck.pdf http://quizlet.com/4874974/head-and-neck-cancer-staging-and-nccn-guidelines
 Snow, G.B., Patel, P., Leemans, C.R. and Tiwari, R. (1992) Management of cervical lymph nodes in patients with head and neck cancer. European Archives of OtoRhino-Laryngology, 249, 187-194. http://dx.doi.org/10.1007/BF00178467
 Brown, A.E. and Langdon, J.D. (1995) Management of oral cancer. Annals of The Royal College of Surgeons of England, 77, 404-408.
 Giovani, M., Tartaglione, G., Rahimi, S., Mafera and B., Pagan, M. (2007) Lymphoscintigraphy and radio guided sentinel node biopsy in oral cavity squamous cell carcinoma: Same day protocol. European Archives of OtoRhino-Laryngology, 264, 163-167.
 Burusapat, C. and Pitiseree, A. (2012) Advanced squamous cell carcinoma involving both upper and lower lips and oral commissure with simultaneous reconstruction by local flap: A case report. Journal of Medical Case Reports, 6, 23. http://dx.doi.org/10.1186/1752-1947-6-23
 Tzeng, K.-B., Chien, W.-H., Lin, Y.-C., Yen, J.-H., Chen, I.-C. and Tang, Y.-W. (2012) One-stage reconstruction of large lower lip defect and oral competence with free composite anterolateral thigh-tensor fasciae latae flap. Formosan Journal of Surgery, 45, 63-68.
 Cupp, C.L. and Larrabee Jr, W.F. (1993) Reconstruction of the lips. Operative Techniques in Otolaryngology: Head and Neck Surgery, 4, 46-53. http://dx.doi.org/10.1016/S1043-1810(10)80106-X
 Daya, M. and Nair, V. (2009) Free radial forearm flap lip reconstruction: A clinical series and case reports of technical refinements, Annals of Plastic Surgery, 62, 361-736. http://dx.doi.org/10.1097/SAP.0b013e31818b4515