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Updated: Aug 13, 2026
06:32
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Defect involving both the cutaneous and the vermilion lip
Galen H Fisher1, Roy G Geronemus, Leonard Bernstein
1New York, NY, USA.
Summary
This case study discusses the surgical repair of a large lip defect caused by invasive squamous cell carcinoma. It highlights the challenges and considerations for reconstructing the lip after Mohs surgery.
Area of Science:
- Dermatology
- Surgical Oncology
- Plastic Surgery
Background:
- Squamous cell carcinoma (SCC) is a common skin cancer.
- Mohs micrographic surgery offers high cure rates for SCC.
- Lip defects require careful reconstruction to maintain function and aesthetics.
Observation:
- An 89-year-old male presented with invasive SCC on the right lower lip.
- Two stages of Mohs surgery were needed for complete tumor extirpation.
- This resulted in a 1.5 x 3.7 cm partial-thickness lip defect.
Findings:
- The defect involved both the cutaneous and vermilion lip.
- Minimal orbicularis oris muscle was lost.
- The primary challenge is the defect reconstruction.
Implications:
- Effective reconstruction is crucial for lip function and appearance.
- Various surgical techniques can be considered for lip defect repair.
- This case underscores the importance of tailored surgical planning for facial defects.
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