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Reconstruction of Broad Lower Lip Defects Using Karapandzic-Type Flaps
Jigar Patel1, Jonathan L Cook2
1Department of Dermatology, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Summary
Karapandzic-type flaps offer a reliable solution for lower lip defect reconstruction, achieving excellent functional and aesthetic outcomes with a low complication rate. This method ensures preservation of oral competency and avoids microstomia.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Oral and Maxillofacial Surgery
Background:
- Lower lip defect reconstruction presents significant functional and aesthetic challenges.
- Evaluating the outcomes of Karapandzic-type flaps is crucial for optimizing patient results.
Purpose of the Study:
- To review the functional and aesthetic outcomes of Karapandzic-type flaps in lower lip defect reconstruction.
- To assess the efficacy and safety of this reconstructive technique.
Main Methods:
- Retrospective review of patients undergoing lower lip defect repair.
- Analysis of functional outcomes, aesthetic results, and complication rates.
Main Results:
- Fifty patients with defects ranging from 20% to 95% were included.
- All patients achieved preserved oral competency and satisfactory aesthetics, with no microstomia.
- An 8% complication rate was observed, including wound infection and dehiscence, with no significant difference based on age, radiation history, or defect size.
Conclusions:
- Karapandzic-type flaps are versatile and reliable for various lower lip defects.
- This one-stage procedure yields superior functional and aesthetic results compared to other flap options.
- The technique minimizes the risk of functional microstomia.

