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Reconstruction of Subtotal Defect of the Lower Lip: Combined Use of Karapandzic and Nasolabial Flap

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Abstract

Subtotal reconstruction of the lower lip after excision of the tumor is always a challenge for surgeons. It is because of the difficulty in  regaining the function of the lip, including the oral competency and restoring the aesthetic subunit. A 46-year-old patient presented with an ulceroproliferative growth involving 70% of the lower lip, including the right commissure. After the confirmation to be a malignancy, patient underwent excision of the tumour and reconstruction of the lower lip using the left Karapandzic flap and right nasolabial flap. The patient was on regular follow-up in the postoperative period to assess the surgical outcomes. The combined use of Karapandzic flap and the nasolabial flap can be reliably used for subtotal reconstruction of the lower lip in advanced oral cavity malignancy, involving one of the commissures. Later can ensure good postoperative results in terms of aesthetic and functional lip reconstruction without any significant intraoperative or postoperative complications.

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References

  1. Carroll CM, Pathak I, Irish J, Neligan PC, Gullane PJ (2000) Reconstruction of total lower lip and chin defects using the composite radial forearm–palmaris longus tendon free flap. Arch Facial Plast Surg 2(1):53–56

    Article  CAS  Google Scholar 

  2. Godefroy WP, Klop WM, Smeele LE, Lohuis PJ (2012) Free-flap reconstruction of large full-thickness lip and chin defects. Ann Otol Rhinol Laryngol 121(9):594–603

    Article  Google Scholar 

  3. Field LM (1983) Design concepts for the nasolabial flap. Plast Reconstr Surg 71(2):283–285

    Article  CAS  Google Scholar 

  4. Karapandzic M (1974) Reconstruction of lip defects by local arterial flaps. Br J Plast Surg 27:93–97

    Article  CAS  Google Scholar 

  5. Szymczyk C, Maciejewski A, Wierzgon J et al (2004) Reconstruction of lower lip resection defect by using Karapandzic technique—early treatment results. Otolaryngol 58(5):927–931

    Google Scholar 

  6. Ethunandan M, Macpherson DW, Santhanam V (2007) Karapandzic flap for reconstruction of lip defects. J Oral Maxillofac Surg 65(12):2512–2517

    Article  Google Scholar 

  7. Papgs (1969) The Gillies fan flap. Restoration of substance for partial loss of upper lip (case report). Acta ChirPlast 11(3):210–213

    CAS  Google Scholar 

  8. Webster RC, Coffey RJ, Kelleher RE (1960) Total and partial reconstruction of the lower lip with innervated musclebearing flaps. Plast Reconstr Surg Transplant Bull 25:360–371

    Article  CAS  Google Scholar 

  9. Johanson B, Aspelund E, Breine U, Holmström H (1974) Surgical treatment of non-traumatic lower lip lesions with special reference to the step technique. A follow-up on 149 patients. Scand J PlastReconstr Surg. 8(3):232–240

    CAS  Google Scholar 

  10. Konstantinović VS (1996) Refinement of the Fries and Webster modifications of the Bernard repair of the lower lip. Br J Plast Surg 49(7):462–465

    Article  Google Scholar 

  11. Zilinsky I, Winkler E, Weiss G, Haik J, Tamir J, Orenstein A (2001) Total lower lip reconstruction with innervated muscle-bearing flaps: a modification of the Webster flap. Dermatol Surg 27(7):687–691

    CAS  PubMed  Google Scholar 

  12. Ebrahimi A, Maghsoudnia GR, Arshadi AA (2011) Prospective comparative study of lower lip defects reconstruction with different local flaps. J Craniofac Surg 22(6):2255–2259

    Article  Google Scholar 

  13. Baumann D, Robb G (2008) Lip reconstruction. Semin Plast Surg 22(4):269–280. https://doi.org/10.1055/s-0028-1095886

    Article  PubMed  PubMed Central  Google Scholar 

  14. Abulafia AJ, Edilberto L, Fernanda V (1996) Reconstruction of the lower lip and chin with local flaps. Plast Reconstr Surg 97(4):847–849

    Article  CAS  Google Scholar 

  15. Hanasono MM, Langstein HN (2011) Extended Karapandzic flaps for near-total and total lower lip defects. Plast Reconstr Surg 127(3):1199–1205

    Article  CAS  Google Scholar 

  16. Gupta S, Chattopadhyay D, Murmu MB, Gupta S, Singh HS (2013) A new technique for one-stage total lower lip reconstruction: achieving the perfect balance. Can J Plast Surg 21(1):57–61

    Article  Google Scholar 

  17. Hamahata A, Saitou T, Ishikawa M, Beppu T, Sakurai H (2013) Lower lip reconstruction using a combined technique of the webster and johanson methods. Ann Plast Surg 70(6):654–656

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of ENT and Head Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751019, India

    Pradeep Pradhan, Abhijeet Kumar Mishra, Krishna Kinkar Das & Aswathi Kallyadan Veetil

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  1. Pradeep Pradhan
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  2. Abhijeet Kumar Mishra
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  3. Krishna Kinkar Das
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  4. Aswathi Kallyadan Veetil
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Correspondence to Pradeep Pradhan.

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Pradhan, P., Mishra, A.K., Das, K.K. et al. Reconstruction of Subtotal Defect of the Lower Lip: Combined Use of Karapandzic and Nasolabial Flap. Indian J Otolaryngol Head Neck Surg 74, 116–120 (2022). https://doi.org/10.1007/s12070-020-02205-0

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  • DOI: https://doi.org/10.1007/s12070-020-02205-0

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