Lower Lip Reconstruction after Skin Cancer Excision: A Tailored Algorithm for Elderly Patients

Area of Science:

• Reconstructive surgery
• Geriatric oncology
• Oral cancer treatment

Background:

• Lower lip reconstruction is vital for oral function after cancer surgery.
• The aging population requires specialized surgical approaches.
• Balancing form and function is key in lip reconstruction.

Purpose of the Study:

• To introduce a specialized algorithm for lower lip reconstruction in geriatric patients.
• To emphasize the use of simpler flaps for elderly individuals.
• To provide practical guidance on reconstruction techniques.

Main Methods:

• Retrospective study from January 2018 to June 2021.
• Data included demographics, defect size, reconstruction method, and outcomes.
• Minimum 6-month follow-up for all patients.

Main Results:

• 78 patients studied, predominantly with squamous cell carcinoma.
• Mean defect area was 3308 cm².
• Low complication rate (2 patients), high patient satisfaction, and sensory restoration observed.

Conclusions:

• The algorithm successfully achieves aesthetic and functional outcomes with low complications in elderly patients.
• Less invasive techniques and modified established methods were prioritized.
• Objective microstomia is a more significant concern than subjective microstomia in lower lip reconstruction.