Original Personalized Reconstruction Method for Certain Large Tumors of the Lower Lip (Not Including Oral...

Area of Science:

• Plastic Surgery
• Oncologic Reconstruction

Background:

• Surgical treatment of extensive lower lip tumors often results in significant structural and functional defects.
• Existing reconstruction methods frequently utilize local/regional flaps, compromising labial structure or oral commissure function.

Purpose of the Study:

• To develop a new reconstruction method for large lower lip defects using exclusively local/regional flaps from the upper and remaining lower lip.
• To preserve 100% labial structure and protect oral commissures during reconstruction.

Main Methods:

• A novel technique combining WY-plasty to reduce defect size.
• Utilizing the Abbe-Sabattini cross-lip flap for reconstruction.
• Employing local and/or regional labial flaps exclusively from healthy upper lip and remaining lower lip structures.

Main Results:

• Impressive functional and structural results were achieved in patients with defects exceeding two-thirds of the lower lip length.
• The method was successfully applied in a personalized manner to specific patient categories.
• The reconstruction maintained complete labial structure and preserved oral commissure integrity.

Conclusions:

• The new method offers significant functional oral advantages for lower lip reconstruction.
• Personalized application is key, suitable for specific patient profiles.
• Disadvantages are primarily related to the inherent characteristics of the Abbe-Sabattini cross-lip flap.