FLAP RECONSTRUCTION OPTIONS AND OUTCOMES FOR CARCINOMA LIP - OUR EXPERIENCE
Journal Title: GJRA-Global Journal For Research Analysis - Year 2019, Vol 8, Issue 4
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 ap 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 ap,Karapandzic aps5 deltopectoral ,PMMF ap 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 aps, Abbe estlander ,nasolabial ,deltopectoral ap, forehead ap. 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 ap failures.Oral competence was noted to be better in Karapandzic aps, Abbe estlander ap,Nasolabial ap than deltopectoral/ forehead ap. Conclusion: The Karapandzic,nasolabial and Abbe estlander aps provide a easy and useful method to reconstruct perioral defects following resection for oral cancer.
Authors and Affiliations
Dr. A. Suresh Venkatachalam, Dr. Balamurugan
Keywords
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