Volume : 8, Issue : 4, April - 2019

FLAP RECONSTRUCTION OPTIONS AND OUTCOMES FOR CARCINOMA LIP - OUR EXPERIENCE

Dr. A. Suresh Venkatachalam, Dr. Balamurugan, Dr. Selvaraj, Dr. Senthilkumar, Dr. Kiruthika

Abstract :

Aim The aim of this study was to review and describe techniques for the reconstruction of defects after resection of lip squamous cell carcinoma with emphasis on cosmetic and functional outcome. Patients and Methods A review of techniques and selected case presentations using different flap designs for the reconstruction of perioral defects following resection of squamous cell carcinoma in 25 patients out of 128 cases of head and neck malignancies was performed in period of 2017-2018 in Regional Cancer Centre,Govt Coimbatore medical college hospital. The Abbe estlander ,Nasolabial flap,Karapandzic flaps5 deltopectoral ,PMMF flap were used for lip defects. Results All reconstructed patients had acceptable functional results and healed without complication. Seven tumors were located in upper lip, Eight tumors in lower lip and Ten tumors in the angle of mouth. The lip defects were easily closed with the Karapandzic flaps, Abbe estlander ,nasolabial ,deltopectoral flap, forehead flap. While cosmesis was acceptable in all cases, the commissure was the most difficult region to reconstruct with a esthetic appearance and functional outcome. There were no flap failures.Oral competence was noted to be better in Karapandzic flaps, Abbe estlander flap,Nasolabial flap than deltopectoral/ forehead flap. Conclusion The Karapandzic,nasolabial and Abbe estlander flaps provide a easy and useful method to reconstruct perioral defects following resection for oral cancer.