Upper lip reconstruction post major cancer resections using the hybrid concept

Badr M. I. Abdulrauf

doi:10.18203/issn.2454-5929.ijohns20202535

Authors

Badr M. I. Abdulrauf Section of Plastic Reconstructive Surgery, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20202535

Keywords:

Upper lip, Cancer, Reconstruction, Large defect, Karapandzic flap, Abbe flap

Abstract

Major defects of the upper lip due to cancer surgery are relatively less common compared to lower lip. Standard techniques such as Karapandzic’s are capable of reconstructing up to fifty percent of the lip otherwise microstomia and oral incompetence may result. The upper lip has few aesthetic characteristic details due to the philtrum, its columns and cupid’s bows. Here we are proposing incorporation of an abbe flap to reconstruct the central unit of upper lip, associated with Karapandzic flaps from both sides. Use of a lip sharing concept has an additional advantage of producing harmony to the reconstructed region, and avoidance of crowding phenomena to the lower lip.

Metrics

Metrics Loading ...

Author Biography

Badr M. I. Abdulrauf, Section of Plastic Reconstructive Surgery, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia

I AM A RECONSTRUCTIVE PLASTIC SURGEON , WITH CLOSE TO 20 YEARS OF PARCTICE IN A TERTIARY CARE SETTING. I AM A RESIDENCY TRAINING PROGRAM DIRECTOR AS WELL.

I HAD MY TRAINING IN CANADA.

MY AREAS OF INTEREST/ EXPERTISE ARE HEAD AND NECK ANATOMY/ H&N SURGERY/ PAEDIATRIC RECONSTRUCTIVE SURGERY/ FACIAL SURGERY.

References

Stranc MF, Fogel ML. Lip function: a study of oral continence. BJPS. 1984;37:550-7.

Stranc MF. Reconstruction of the lips. In: Mimis Cohen (ed.) Mastery of plastic and Reconstructive surgery, 1st edition. Little Brown co; 1994.

Neligan PC. Strategies in lip reconstruction. Clin Plastic Surg. 2009;36(3):477-85.

Sasaki K, Sasaki M, Oshima J, Aihara Y, Nishijima A. Flap reconstruction for full thickness oral defects involving the oral commissure combined with oral modiolus reconstruction using a facial sling. Microsurgery. 2019.

Vansison C, Beckmann N, Smith A. Recent advances in lip reconstruction. Current Opinion Otolaryngology Head Neck Surg J. 2019;27(3):219-26.

Abdulrauf BMI. The Hybrid concept in lip reconstruction. Int J Otorhinolaryngology Head Neck Surg. 2020;6(6):1183-7.

Uglesic V, Amin K, Dedliol E, Koustic D. Combined Karapandzic-Abbe/Eslander/Stein flap for subtotal and total lower lip reconstruction. J Plastic Reconstructive Aesthetic Surg. 2019;72(3):484-90.

Gonzalez A, Etchichury D. Reconstruction of large defects of the lower lip after Mohs surgery: the use of combined Karapandzic and Abbe flaps. Annals Plastic Surg. 2018;81(4):433-7.

Fogel ML, Stranc MF. Lip function: a study of normal lip parameters. British J Plastic Surg. 1984;37:542-9.