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Lip Reconstruction After Mohs Micrographic Surgery: A Guide on Flaps.
Brinda Chellappan1, Grace Obanigba1, Paige Hoyer1
1University of Texas Medical Branch, Galveston.
Cutis
|June 8, 2023
Summary
Lip skin cancer often requires surgical removal and reconstruction. Mohs micrographic surgery is ideal for lip cancer, preserving tissue. Reconstruction options include skin grafts and local flaps, detailed in this review.
Area of Science:
- Dermatology
- Surgical Oncology
- Plastic Surgery
Background:
- The lips are highly susceptible to skin cancer due to cumulative sun exposure.
- Surgical excision is frequently necessary for lip skin cancers, even with early detection.
- Reconstruction is a critical component following surgical defect removal.
Purpose of the Study:
- To review common local flap reconstruction techniques for lip defects after skin cancer surgery.
- To outline the indications, risks, and benefits of various lip reconstruction methods.
Main Methods:
- Review of established and commonly utilized local cutaneous and myocutaneous flaps for lip reconstruction.
- Discussion of surgical principles and patient selection criteria.
Main Results:
- Mohs micrographic surgery offers the best outcomes for nonmelanoma lip skin cancers, minimizing recurrence and maximizing tissue preservation.
- Local flaps provide versatile options for reconstructing various lip defect sizes and complexities.
- The choice of flap depends on defect characteristics, patient factors, and desired aesthetic and functional outcomes.
Conclusions:
- Effective reconstruction is essential following lip skin cancer surgery to restore form and function.
- Understanding the nuances of different local flaps allows for tailored surgical planning and improved patient results.
