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Lower Lip Reconstruction Using the Karapandzic Flap Technique
1Department of Plastic and Reconstructive Surgery, Beppu Medical Center, National Hospital Organization (NHO), Beppu, JPN.
Cureus
|January 22, 2024
Summary
The Karapandzic flap effectively reconstructs large lower lip defects after basal cell carcinoma excision. This single-procedure method offers good aesthetic and functional outcomes for patients.
Area of Science:
- Plastic Surgery
- Dermatology
- Oncology
Background:
- Reconstruction of perioral defects, particularly lower lip defects, poses significant surgical challenges.
- Current reconstruction methods include local, distant, and free flaps, each with limitations.
- Basal cell carcinoma excision can result in substantial perioral defects requiring complex reconstruction.
Observation:
- A 76-year-old male presented with basal cell carcinoma on the lower lip.
- Excision of the tumor created a defect involving half the lower lip, cheek skin, and oral commissure.
- The defect was reconstructed using a Karapandzic flap.
Findings:
- The Karapandzic flap provided a successful reconstruction for the extensive lower lip defect.
- The patient reported high satisfaction with the aesthetic outcome.
- No functional deficits were observed post-reconstruction.
Implications:
- The Karapandzic flap is a viable and efficient option for reconstructing large lower lip defects.
- This technique can be performed safely and quickly in a single surgical session.
- It offers a favorable solution for restoring both form and function in perioral reconstruction.
