[The local and general complications after the lower lip cancer treatment]

The aim of our research was to analyze general and local complications during the restoration-reconstruction operations in patients with epidermoid cancer on a lower lip. We have analyzed 61 patients' histories who were treated at the department of head and neck tumors of A. Gvamichava National Center of Oncology during 1990-2000. Based on the spread of the disease at the certain stage of treatment surgical operation becomes necessary that is broad excision of the tumor. Unfortunately it is impossible to restore the lip with the help of the local tissues that demands to perform restoration-reconstruction surgery with the use of rotated or free skin-muscular or mucilaginous-muscular scraps and consequently we considered it expedient to estimate functional and cosmetic efficiency of the used restoration-reconstruction surgery. The most attention was paid to analyze the local and general complication that might significantly influence cosmetic and functional results of the treatment. Based on our investigations it may be concluded that after the surgical treatment of the cancer of the lower lip the local complications is detected in 23,1%, among which the most frequent is secondary wound repair along with formation of oral fistula. After the performed restoration-reconstruction surgery the scrap necrosis was detected in 5 cases (8, 2%). The mentioned complication mostly was developed in patients for whom the rotated scrap was taken from upper lipt.