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Updated: Jul 22, 2026
Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Total lower lip reconstruction with innervated muscle-bearing flaps: a modification of the Webster flap
I Zilinsky1, E Winkler, G Weiss
1Mohs Surgical Unit and Department of Plastic and Reconstructive Surgery, Chaim Sheba Medical Center, Tel Hashomer, Israel. zilinsky@netvision.net.il
Background:
Mohs surgery and other surgical techniques are used for the removal of squamous cell carcinoma of the lower lip and may leave a large defect in the vermilion and underlying tissue. When nearly the entire lower lip is excised, reconstruction of this defect is a challenge. Repair requires the matching of vermilion color, maintenance of oral sphincter function and mouth opening size, and retention of sensation. Several techniques have been suggested. We present a modification of the Webster flap for total lower lip reconstruction using innervated muscle-bearing flaps.
Objective:
To present a surgical technique for the reconstruction of total lower lip defects after excision of squamous cell carcinoma.
Methods:
Innervated muscle-bearing flaps are used and demonstrated in one case. The surgical technique is discussed in detail.
Results:
The reconstructive results were excellent. There were no postoperative complications.
Conclusion:
The use of innervated muscle-bearing flaps is a useful and effective option for the reconstruction of total lower lip defects.
