SURGICAL LOWER LIP RECONSTRUCTION – 2 CASE REPORTS

Abstract

The correction of large surgical defects of the lower lip is challenging to the dermatological surgeon. It is important to associate a radical excision of the tumour with a good functional and cosmetic outcome. The authors report two cases. The case 1 is concerning to a 65-year-old patient with squamous cell carcinoma affecting over than one third of the lower lip. After tumour excision, the defect was closed with a Karapandzic flap (advanced-rotation pedicle myocutaneous flap). The case 2 respects to a 7-year-old-patient with a large squamous cell carcinoma of the lower lip involving the oral comissure. The defect resultant from radical excision of the tumour was reconstructed by an Abbé- Estlander flap (myocutaneous and mucous transposition flap). The cosmetic and functional outcome was good in both cases. The authors report these two cases because of its difficult surgical management, emphasizing the good results achieved with preservation of the functionality of lower lip.