Cancer of the perioral region

Area of Science:

• Oncology
• Surgical Oncology
• Dermatology

Background:

• Perioral malignancies present unique management challenges due to the complex anatomy of the region.
• Effective treatment necessitates a coordinated effort involving multiple surgical specialties.

Purpose of the Study:

• To outline a structured, multidisciplinary strategy for managing challenging perioral malignancies.
• To detail considerations for surgical planning, including anatomy, tumor characteristics, and prognosis.
• To present a reconstruction technique for large defects in the perioral area.

Main Methods:

• Review of an organized, multidisciplinary approach involving Mohs micrographic surgery and head and neck surgery.
• Emphasis on anatomical considerations, tumor classification, and prognostic factors.
• Presentation of a specific reconstructive technique, the Karapandzic flap.

Main Results:

• A systematic approach integrating Mohs surgery and head and neck expertise facilitates complex perioral malignancy management.
• The Karapandzic flap is highlighted as an effective option for substantial perioral reconstructions.

Conclusions:

• A multidisciplinary strategy is crucial for optimizing the care of patients with difficult perioral malignancies.
• The Karapandzic flap offers a valuable solution for reconstructing large defects in this sensitive facial area.