Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제49권5호
  • /
  • Pages.292-296
  • /
  • 2023
  • /
  • 2234-7550(pISSN)
  • /
  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
권호 표지
DOI QR코드

DOI QR Code

Squamous cell carcinoma of lower lip: the results of wide V-shaped resection

  • Sung Bin Youn (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Hoon Myoung (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Ik-Jae Kwon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University)
  • 투고 : 2022.12.13
  • 심사 : 2023.03.01
  • 발행 : 2023.10.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Generally, if the size of a lip cancer defect exceeds 30% of the lower lip, a local flap or free flap is recommended. However, defects up to 50% of the lower lip in size have been reconstructed successfully by primary closure without a local flap or free flap. In one case, an 80-year-old male farmer who had smoked for more than 50 years presented with squamous cell carcinoma of the lower lip and underwent mass resection and supraomohyoid neck dissection. The defect accounted for almost 2/3 of the lower lip and was repaired by primary closure with V-shaped resection. Biopsy results confirmed pT2N0cM0 stage II disease with clear margins. In another case, a 68-year-old male also presented with squamous cell carcinoma of the lower lip and underwent mass resection. The defect accounted for about half the size of the lower lip but was repaired by primary closure with V-shaped resection. Both patients experienced no discomfort while eating or speaking and were satisfied with the cosmetic and functional outcomes with no evidence of recurrence. Thus, direct closure can be considered even in large lower lip cancers.

키워드

참고문헌

  1. Ozturk K, Gode S, Erdogan U, Akyildiz S, Apaydin F. Squamous cell carcinoma of the lip: survival analysis with long-term follow-up. Eur Arch Otorhinolaryngol 2015;272:3545-50. https://doi.org/10.1007/s00405-014-3415-6
  2. Bota JP, Lyons AB, Carroll BT. Squamous cell carcinoma of the lip-a review of squamous cell carcinogenesis of the mucosal and cutaneous junction. Dermatol Surg 2017;43:494-506. https://doi.org/10.1097/dss.0000000000001020
  3. Matin MB, Dillon J. Lip reconstruction. Oral Maxillofac Surg Clin North Am 2014;26:335-57. https://doi.org/10.1016/j.coms.2014.05.013
  4. Boukovalas S, Boson AL, Hays JP, Malone CH, Cole EL, Wagner RF. A systematic review of lower lip anatomy, mechanics of local flaps, and special considerations for lower lip reconstruction. J Drugs Dermatol 2017;16:1254-61.
  5. Malard O, Corre P, Jegoux F, Durand N, Dreno B, Beauvillain C, et al. Surgical repair of labial defect. Eur Ann Otorhinolaryngol Head Neck Dis 2010;127:49-62. https://doi.org/10.1016/j.anorl.2010.04.001
  6. Krunic AL, Weitzul S, Taylor RS. Advanced reconstructive techniques for the lip and perioral area. Dermatol Clin 2005;23:43-53, v-vi. https://doi.org/10.1016/j.det.2004.08.009
  7. Baker SR. Local flaps in facial reconstruction. 2nd ed. Mosby; 2007.
  8. Neligan PC. Plastic surgery. 3rd ed. Elsevier; 2013.
  9. McCarn KE, Park SS. Lip reconstruction. Facial Plast Surg Clin North Am 2005;13:301-14, vii. https://doi.org/10.1016/j.fsc.2004.11.005
  10. Anvar BA, Evans BCD, Evans GRD. Lip reconstruction. Plast Reconstr Surg 2007;120:57e-64e. https://doi.org/10.1097/01.prs.0000278056.41753.ce
  11. Demirdover C, Vayvada H, Ozturk FA, Yazgan HS, Karaca C. A new modification of fan flap for large lower lip defects. Scand J Surg 2019;108:172-7. https://doi.org/10.1177/1457496918798211
  12. Sanniec KJ, Carboy JA, Thornton JF. Simplifying lip reconstruction: an algorithmic approach. Semin Plast Surg 2018;32:69-74. https://doi.org/10.1055/s-0038-1645882
  13. Soliman S, Hatef DA, Hollier LH Jr, Thornton JF. The rationale for direct linear closure of facial Mohs' defects. Plast Reconstr Surg 2011;127:142-9. https://doi.org/10.1097/prs.0b013e3181f95978
  14. Harris L, Higgins K, Enepekides D. Local flap reconstruction of acquired lip defects. Curr Opin Otolaryngol Head Neck Surg 2012;20:254-61. https://doi.org/10.1097/moo.0b013e3283557dcf
  15. Park CH, Kwon TK, Hong SJ, Chu HR. Reconstruction after resection of lower lip squamous cell carcinoma. Korean J Otorhinolaryngol Head Neck Surg 2008;51:471-6.
  16. Ishii LE, Byrne PJ. Lip reconstruction. Facial Plast Surg Clin North Am 2009;17:445-53. https://doi.org/10.1016/j.fsc.2009.05.007
  17. Jeong DM, Shin YJ, Lee NR, Lim HK, Choung HW, Pang KM, et al. Maximal strength and endurance scores of the tongue, lip, and cheek in healthy, normal Koreans. J Korean Assoc Oral Maxillofac Surg 2017;43:221-8. https://doi.org/10.5125/jkaoms.2017.43.4.221
  18. Lupu M, Caruntu A, Caruntu C, Boda D, Moraru L, Voiculescu V, et al. Non-invasive imaging of actinic cheilitis and squamous cell carcinoma of the lip. Mol Clin Oncol 2018;8:640-6. https://doi.org/10.3892/mco.2018.1599
  19. Elmas OF, Metin MS, Kilitci A. Dermoscopic features of lower lip squamous cell carcinoma: a descriptive study. Indian Dermatol Online J 2019;10:536-41. https://doi.org/10.4103/idoj.idoj_435_18
  20. Wood NH, Khammissa R, Meyerov R, Lemmer J, Feller L. Actinic cheilitis: a case report and a review of the literature. Eur J Dent 2011;5:101-6. https://doi.org/10.1055/s-0039-1698864
  21. Vieira RA, Minicucci EM, Marques ME, Marques SA. Actinic cheilitis and squamous cell carcinoma of the lip: clinical, histopathological and immunogenetic aspects. An Bras Dermatol 2012;87:105-14. https://doi.org/10.1590/s0365-05962012000100013