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Related Experiment Video

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Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
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Lip Reconstruction after Tumor Ablation.

Ali Ebrahimi1, Mohammad Hossein Kalantar Motamedi2, Azin Ebrahimi3

  • 1Department of Plastic Surgery, Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.

World Journal of Plastic Surgery
|June 17, 2016
PubMed
Summary

Lip reconstruction after cancer surgery involves various techniques, chosen based on defect size, location, and patient factors. The review highlights established and novel methods for optimal functional and aesthetic outcomes.

Keywords:
AblationLipReconstructionTumor

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Plastic and Reconstructive Surgery

Background:

  • Oral cavity carcinomas frequently involve the lips, necessitating surgical resection.
  • Lip tissue loss following resection requires reconstruction to restore form and function.

Purpose of the Study:

  • To review established and emerging techniques for lip reconstruction after tumor ablation.
  • To guide surgeons in selecting the most appropriate reconstruction method based on defect characteristics and patient factors.

Main Methods:

  • Literature review of accepted and novel lip reconstruction techniques.
  • Analysis of factors influencing reconstruction method selection, including defect size, location, tissue elasticity, patient age, comorbidities, and motivation.

Main Results:

  • Primary closure is suitable for defects <30% of the lip.
  • Various flaps (Karapandzic, Abbe, Estlander, McGregor, Gillies, Webster, Bernard) are effective for moderate defects (35-70%).
  • Free flaps (Deltopectoral, radial forearm) are options for extensive defects involving the jaws.

Conclusions:

  • The choice of lip reconstruction technique depends on a comprehensive assessment of defect and patient variables.
  • Surgeons must stay abreast of innovations to provide optimal functional and aesthetic results in lip defect reconstruction.