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Published on: February 27, 2026
Surgery for recurrent lower lip carcinoma
S Maharjan1, M Bista, K C Toran
1Department of Surgery (Plastic Surgery), Kathmandu Medical College Teaching Hospital, Sinamangal, Nepal. surazonline@hotmail.com
Kathmandu University Medical Journal (KUMJ)
|January 15, 2010
Summary
This case report details the surgical reconstruction of a lower lip after recurrent squamous cell carcinoma. Innovative techniques were employed due to extensive scarring and limited tissue availability.
Area of Science:
- Oral and Maxillofacial Surgery
- Surgical Oncology
- Reconstructive Surgery
Background:
- Recurrent squamous cell carcinoma of the lower lip presents a significant challenge for reconstruction.
- Previous treatments like surgery and radiotherapy can lead to extensive scarring and tissue damage, complicating subsequent procedures.
Observation:
- A 38-year-old male patient with recurrent lower lip squamous cell carcinoma had severe scarring and limited reconstructive options.
- The tongue, a common source for vermilion reconstruction, was unavailable due to shrinkage.
Findings:
- This case report outlines the multi-faceted treatment approach for lip reconstruction in a challenging clinical scenario.
- Collaboration with the Ear, Nose, and Throat (ENT) department was crucial for successful management.
Implications:
- The successful reconstruction highlights the importance of tailored surgical strategies for complex head and neck cancer cases.
- This approach may offer valuable insights for managing similar challenging lip reconstruction scenarios in oncologic patients.

