Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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Large Lower Lip Defect Reconstruction Using a Karapandzic Flap: A Case Report and Literature Review

하순에 발생한 편평상피암 절제 후 생긴 거대한 결손을 카라판직 피판술을 이용하여 재건한 1예

  • Ji Hoon, Kim (Departments of Plastic and Reconstructive Surgery, Bundang Jesaeng Hospital) ;
  • Chang Eun, Chung (Departments of Plastic and Reconstructive Surgery, Bundang Jesaeng Hospital) ;
  • Chong Kun, Lee (Departments of Plastic and Reconstructive Surgery, Bundang Jesaeng Hospital)
  • 김지훈 (분당제생병원 성형외과) ;
  • 정창은 (분당제생병원 성형외과) ;
  • 이종건 (분당제생병원 성형외과)
  • Received : 2022.10.07
  • Accepted : 2022.11.04
  • Published : 2022.11.30
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Abstract

Squamous cell carcinoma is the most common cancer occurring in the oral cavity and oncologic wide cancer excision is a major cause of large lip defects. Large lower lip defect reconstruction with good functional and aesthetic results has always presented a challenge for plastic surgeons. There are various lower lip reconstruction methods depending on its size, location, and surgeon's expertise. This is a case of a large defect spanning more than two-thirds of the lower lip after wide excision due to squamous cell carcinoma. The Karapandzic flap was used to reconstruct the defect with a commissuroplasty carried out in a second operation, which yielded a relatively good functional and aesthetic result. No recurrences or metastases were observed within a one year follow-up period.

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References

  1. Ebrahimi A, Maghsoudnia GR, Arshadi AA. Prospective comparative study of lower lip defects reconstruction with different local flaps. J Craniofac Surg. 2011;22:2255-2259.  https://doi.org/10.1097/SCS.0b013e318232786d
  2. Moretti A, Vitullo F, Augurio A, Pacella A, Croce A. Surgical management of lip cancer. Acta Otorhinolaryngol Ital. 2011;31:5-10. 
  3. Akbas H, Karacaoglan N. Reconstruction of large lower lip defects: A new method. Otolaryngol Head Neck Surg. 2001;124:456-458.  https://doi.org/10.1067/mhn.2001.114676
  4. Karapandzic M. Reconstruction of lip defects by local arterial flaps. Br J Plast Surg. 1974;27:93-97.  https://doi.org/10.1016/0007-1226(74)90068-X
  5. Ye W, Hu J, Zhu H, Zhang C, Zhang Z. Application of modified Karapandzic flaps in large lower lip defect reconstruction. J Oral Maxillofac Surg. 2014;72:2077-2082. 
  6. Khan AA, Kulkarni JV. Karapandzic flap. Indian J Dent. 2014;5:107-109. https://doi.org/10.4103/0975-962X.135291 
  7. Closmann JJ, Pogrel MA, Schmidt BL. Reconstruction of perioral defects following resection for oral squamous cell carcinoma. J Oral Maxillofac Surg. 2006;64:367-374.  https://doi.org/10.1016/j.joms.2005.11.025
  8. Salgarelli AC, Sartorelli F, Cangiano A, Collini M. Treatment of lower lip cancer: An experience of 48 cases. Int J Oral Maxillofac Surg. 2005;34:27-32. 
  9. Moon BM, Pae WS. Reconstruction of a large lower lip defect using a combination of Abbe and staircase flaps: A case report. Arch Craniofac Surg. 2021;22:324-328.  https://doi.org/10.7181/acfs.2021.00493
  10. Kim HI, Kim HS, Park JH, Yi HS, Kim YS, Kim HY. Reconstruction of a small defect of the lower vermilion adjacent to white roll using a modified O-Z flap. Arch Craniofac Surg. 2021;22:164-167.  https://doi.org/10.7181/acfs.2021.00150
  11. Narayana ML, Pramod D, Lavanya T, Viswambharan V, Gaur U. Bilateral Karapandzic flap: A work horse for carcinoma of lower lip. Int J Otorhinolaryngol Head Neck Surg. 2020;6:428-430.  https://doi.org/10.18203/issn.2454-5929.ijohns20200165
  12. Dadhich AS, Shah S, Saluja H, Tandon P, More V. Karapandzic flap for esthetic and functional reconstruction of large defect of lower lip. Ann Maxillofac Surg. 2017;7:300-303.  https://doi.org/10.4103/ams.ams_127_17
  13. Ki SH, Jo GY, Yoon J, Choi MSS. Reconstruction of microstomia considering their functional status. Arch Craniofac Surg. 2020;21:161-165. https://doi.org/10.7181/acfs.2020.00220