Abstract
The Karapandzic flap (KF) is a versatile procedure that allows closure of a larger (up to 90%) upper or lower full-thickness lip defects. Because the flap is designed to take advantage of the position of the facial artery and keeps the fibers of the orbicularis oris oriented as they would lie naturally, it preserves good vascularization and sphincteric function. It is also a single-stage repair, and it can be used even if there is involvement of the commissures. The technique takes advantage of being able to conceal incisions in the relaxed skin tension lines including nasolabial folds and submental crease, thereby affording a good aesthetic result.
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Calhoun KH. “Reconstruction of small- and medium-sized defects of the lower lip.”
American Journal of Otolaryngology. 1992 Jan-Feb;13(1):16-22.
Ethunandan M, Macpherson DW, Santhanam V. “Karapandzic flap for reconstruction of lip defects.” Journal of Oral and Maxillofacial Surgery. 2007 Dec;65(12):2512-7.
Karapandzic M. “Reconstruction of lip defects by local arterial flaps.” British Journal of Plastic Surgery. 1974 Jan;27(1):93-7.
Sanniec KJ, Carboy JA, Thornton JF. “Simplifying Lip Reconstruction: An Algorithmic Approach.” Seminars in Plastic Surgery. 2018 May;32(2):69-74.
Smith PG, Muntz HR, Thawley SE. “Local myocutaneous advancement flaps. Alternatives to cross-lip and distant flaps in the reconstruction of ablative lip defects.” Archives of Otolaryngology. 1982 Nov;108(11):714-8.
Teemul TA, Telfer A, Singh RP, Telfer MR. “The versatility of the Karapandzic flap: A review of 65 cases with patient-reported outcomes.” Journal of Cranio-maxillo-facial Surgery. 2017 Feb;45(2):325-329.
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Peckham, M., Vural, E.A. (2023). Lower Lip Reconstruction with Karapandzic Flap. In: Stack Jr., B.C., Moreno, M.A., Boyette, J.R., Vural, E.A. (eds) Matrix Head and Neck Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-031-24981-5_67
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DOI: https://doi.org/10.1007/978-3-031-24981-5_67
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