Upper Lip Reconstruction after Lip Cancer Wide Excision

Boedy Setya Santoso; Citra Dwi Novastuti

doi:10.20473/fmi.v55i2.24631

Submitted

14 January 2021

Accepted

14 January 2021

Published

30 June 2019

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Abstract

Head and neck reconstruction serves two purposes, namely to restore function and aesthetics. The priority goals for lip reconstruction should be determined before surgery. In cases of large lip defects, maintaining the goal makes lip reconstruction difficult. This is a case report of a 66 year old man who came to ORL-HNS OPD, Dr. Soetomo Hospital, Surabaya with the main complaint of ulcers on the upper lip since one year ago accompanied by pain. A mass biopsy result on the right vestibule in Malang on October 11, 2016 showed adenosquamous cell carcinoma. The patient planned to have a wide excision and reconstruction of the lip defect. Wide excision and lip reconstruction was performed on 15 September 2016. Total resection of the upper lip was performed up to the vestibule of the nose. The results showed that squamous cell carcinoma was poorly differentiated. The evaluation after myocutaneous flap surgery was well combined, there were no signs of inflammation or infection. Patients can open their mouths, eat, drink and speak without complaint. The patient then received regular chemoradiotherapy two weeks after surgery.

Keywords

Upper lip reconstruction lip cancer wide excision

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How to Cite

Santoso, B. S., & Novastuti, C. D. (2019). Upper Lip Reconstruction after Lip Cancer Wide Excision. Folia Medica Indonesiana, 55(2), 147–152. https://doi.org/10.20473/fmi.v55i2.24631

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References

Cook JL (2013). The reconstruction of two large full-thickness wound of the upper lip with different operative techniques: when possible, a local flap repair is preferable to reconstruct with free tissue transfer. American society for dermatologic surgery. Spain: Wiley periodicals, Inc. Available from: http://onlinelibrary.wiley.com.scihub.cc/doi/10.1111/dsu.12033/pdf# Accessed at February 10, 2017
Fernandez R (2015). Lip reconstruction. In: Fernandez, ed. 1st ed. Local and regional flaps in head and neck reconstruction: a practical approach. Oxford, Jon Wiley and sons, p 186-205
Marcos JAG, Rincon IH, Corcoles CG, Alfaro MS, Martinez EP, Rodriguez SA (2014). Bilateral reverse yu flap for upper lip reconstruction after oncologic resection. American society for dermatologic surgery. Spain, Wiley periodicals, Inc. Available from: https://www.ncbi.nlm.nih.gov/pubmed/23915230 Accessed March 13, 2017
Matros E, Pribaz JJ (2014). Reconstruction of acquired lip deformities. In: Thorne CH, ed. Grabb and Smith’s plastic surgery. 7th Ed. Philadelphia, Lippincott Williams&Wilkins, 372-83
Nishihara K, Nakasone T, Matayoshi A, Maruyama T, Arasaki A (2016). Upper lip reconstruction after oncologic resection by a sliding advancement cheek flap with buccal mucosal reversion. Departement of oral and maxillofacial surgery, University of Ryukyus hospital, Okinawa, Japan. Available from: http://journals.lww.com/prsgo/Fulltext/2016/11000/Upper_Lip_Reconstruction_after_Oncologic_Resection.34.aspx Accessed February 8, 2017
Oseni OG, Fadare AE, Majaro MO, Olaitan PB (2015). Total reconstruction of the upper lip using bilateral nasolabial flaps, submental flap, and mucosal graft following complete resection for squamous cell carcinoma. Hindawi publishing corporation. Available from: https://www.hindawi.com/journals/cris/2015/ 782151. Accessed February 8, 2017
Puscas L, Fritz MA, Esclamado RM (2014). Lip cancer. In: Johnson JT, Rosen CA, eds. Bailey’s head and neck surgery-otolaryngology. 5th Ed. Philadelphia, Lippincott Williams &Wilkins, p 1788-1804
Salibian A, Urken AL (2014). Reconstruction of the lips. In: Urken ML, ed. Multidisciplinary head and neck reconstruction. A defect-oriented approach. Philadelphia, Lippincott Williams&Wilkins, p 83-132
Weerda H (2001). The lips. In: Weerda H, ed. Reconstructive facial plastic surgery. Illinois, Thieme, p 56-67

References

Cook JL (2013). The reconstruction of two large full-thickness wound of the upper lip with different operative techniques: when possible, a local flap repair is preferable to reconstruct with free tissue transfer. American society for dermatologic surgery. Spain: Wiley periodicals, Inc. Available from: http://onlinelibrary.wiley.com.scihub.cc/doi/10.1111/dsu.12033/pdf# Accessed at February 10, 2017

Fernandez R (2015). Lip reconstruction. In: Fernandez, ed. 1st ed. Local and regional flaps in head and neck reconstruction: a practical approach. Oxford, Jon Wiley and sons, p 186-205

Marcos JAG, Rincon IH, Corcoles CG, Alfaro MS, Martinez EP, Rodriguez SA (2014). Bilateral reverse yu flap for upper lip reconstruction after oncologic resection. American society for dermatologic surgery. Spain, Wiley periodicals, Inc. Available from: https://www.ncbi.nlm.nih.gov/pubmed/23915230 Accessed March 13, 2017

Matros E, Pribaz JJ (2014). Reconstruction of acquired lip deformities. In: Thorne CH, ed. Grabb and Smith’s plastic surgery. 7th Ed. Philadelphia, Lippincott Williams&Wilkins, 372-83

Nishihara K, Nakasone T, Matayoshi A, Maruyama T, Arasaki A (2016). Upper lip reconstruction after oncologic resection by a sliding advancement cheek flap with buccal mucosal reversion. Departement of oral and maxillofacial surgery, University of Ryukyus hospital, Okinawa, Japan. Available from: http://journals.lww.com/prsgo/Fulltext/2016/11000/Upper_Lip_Reconstruction_after_Oncologic_Resection.34.aspx Accessed February 8, 2017

Oseni OG, Fadare AE, Majaro MO, Olaitan PB (2015). Total reconstruction of the upper lip using bilateral nasolabial flaps, submental flap, and mucosal graft following complete resection for squamous cell carcinoma. Hindawi publishing corporation. Available from: https://www.hindawi.com/journals/cris/2015/ 782151. Accessed February 8, 2017

Puscas L, Fritz MA, Esclamado RM (2014). Lip cancer. In: Johnson JT, Rosen CA, eds. Bailey’s head and neck surgery-otolaryngology. 5th Ed. Philadelphia, Lippincott Williams &Wilkins, p 1788-1804

Salibian A, Urken AL (2014). Reconstruction of the lips. In: Urken ML, ed. Multidisciplinary head and neck reconstruction. A defect-oriented approach. Philadelphia, Lippincott Williams&Wilkins, p 83-132

Weerda H (2001). The lips. In: Weerda H, ed. Reconstructive facial plastic surgery. Illinois, Thieme, p 56-67

Upper Lip Reconstruction after Lip Cancer Wide Excision

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