engleski

Lover lip, chin and facial defects reconstruction using the extended Karapandzic flap

Idea Large, full-thickness lip and chin defects after head and neck surgery maintain to be challange for reconstruction. Lower lip defects of less than 2/3 of the width of the lip can be reconstructed effectively with local flaps. We used modification of the Karapandzic flap for complex lip, chin and facial defects. Modified incisions are placed lateral to the nasolabial sulcus within the RSTL. Method This procedure was used in eight patients in combination with other local flaps and free flaps. Five patients had an intraoral cancer with the extension to the lower lip and chin. Two patients had a skin cancer of the face and oral commissure. One pateint had a lower lip cancer. Simultaneous neck dissection was performed in seven cases. Radial forearm free flaps were used in three patient and free fibula flaps in two patients for intraoral lining and mandibular reconstruction. Pectoralis major myocutaneous falp was used for intraoral lining in one case. In one patient extended Karapandzic flap was performed in combination with Abbe flap and folded radial forearm free flap. Results The wound healing was uneventful in all cases. Free flap survival was 100 percent. Oral comptence was excellent in all cases. The aesthetic appearence was acceptable to almost all patients. Conclusions The goals of reconstruction are to restore oral lining, external cheek and chin, oral competence and function. This modified tecnique can fulfil all requested goals of a good dynamic reconstruction.

Facial reconstruction; extended Karapandzic flap

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