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Squamous cell carcinoma lower lip - an experience with Karapandzic technique
Muhammad Ikram Khan1, Mukarram Hussain, Muhammad Jamil
1Department of Surgery, Combined Military Hospital, Kohat.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|February 26, 2005
Summary
Squamous cell carcinoma of the lower lip is common in older males with sun exposure history. The Karapandzic technique offers effective reconstruction after surgical excision, preserving function and aesthetics.
Area of Science:
- Oncology
- Head and Neck Surgery
- Plastic and Reconstructive Surgery
Background:
- Lip carcinoma, particularly squamous cell carcinoma, is a prevalent head and neck malignancy.
- It commonly affects the lower lip in middle-aged to elderly males with a history of chronic sun exposure.
- Surgical excision and radiotherapy are established treatment modalities, with surgery often preferred.
Observation:
- A 62-year-old male presented with a large, fungating, tender lower lip mass.
- Biopsy confirmed squamous cell carcinoma of the lip.
- The tumor was surgically excised, and the resulting defect was reconstructed.
Findings:
- The Karapandzic technique, a myoneurovascular pedicled advancement flap, was utilized for reconstruction.
- This technique is noted for its simplicity, safety, minimal tissue sacrifice, rapid healing, and effectiveness in repairing significant lower lip defects (1/3 to 4/5).
- Post-operative follow-up revealed the patient remained asymptomatic.
Implications:
- The Karapandzic technique is a viable and effective reconstructive option for extensive lower lip defects following squamous cell carcinoma excision.
- It achieves favorable functional and aesthetic outcomes, contributing to patient recovery and well-being.
- This case highlights the successful application of the Karapandzic technique in managing lip cancer reconstruction.