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Lower Lip Cancer Managed by Reconstruction with a Double Abbe Flap - A Case Report.
Tomoki Sumida1,2, Tomohiro Yamada1, Hiroyuki Nakano1
1Department of Oral and Maxillofacial Surgery, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University, Fukuoka, Japan.
Annals of Maxillofacial Surgery
|March 12, 2021
Summary
This study details a successful double Abbe flap reconstruction for a 78-year-old woman with extensive lower lip cancer. The procedure achieved excellent esthetic and functional outcomes, highlighting its efficacy in complex lip reconstruction.
Area of Science:
- Oncology
- Plastic Surgery
- Reconstructive Surgery
Background:
- Lower lip cancer treatment necessitates balancing esthetics and function.
- Reconstruction methods vary based on the extent of resection.
- No single algorithm is universally optimal for lip reconstruction.
Observation:
- A 78-year-old edentulous woman presented with lower lip cancer requiring resection of approximately 70% of the lip.
- The resection area did not involve the lip commissure.
- A double Abbe flap was chosen for reconstruction.
Findings:
- The double Abbe flap successfully reconstructed the large defect in the lower lip.
- The patient experienced excellent esthetic and functional results post-surgery.
- This case demonstrates the viability of the double Abbe flap for extensive lower lip defects.
Implications:
- The double Abbe flap is a viable option for extensive lower lip reconstruction, even in edentulous patients.
- Careful treatment planning is crucial for optimizing outcomes in lower lip cancer surgery.
- Further research into standardized algorithms for lip reconstruction may improve patient care.
