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[Nasogenial flaps].

J P Roulaud, J Tournaire, M Lamarche

    Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
    |January 1, 1984
    PubMed
    Summary
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    A large lower lip cancer was surgically removed and reconstructed using a double nasogenial flap. Despite flap necrosis and rejection, spontaneous healing led to a good functional and aesthetic outcome.

    Area of Science:

    • Oncology
    • Plastic Surgery
    • Dermatology

    Background:

    • Epidermoid carcinoma of the lower lip can be extensive, particularly in elderly patients.
    • Surgical excision followed by reconstruction is a standard treatment approach.
    • Nasogenial flaps are utilized for facial reconstruction, but carry risks.

    Observation:

    • A large lower lip epidermoid carcinoma in an elderly patient underwent excision and double nasogenial flap reconstruction.
    • The patient experienced postoperative complications including flap necrosis and rejection.
    • The flap's viability was compromised, necessitating close monitoring and intervention.

    Findings:

    • Despite initial flap failure (necrosis and rejection), spontaneous healing occurred.
    • Local treatment modalities were employed to support the healing process.

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  • The final outcome demonstrated satisfactory functional and aesthetic results.

    • Implications:

    • This case highlights the potential for spontaneous healing even after significant flap complications in lower lip reconstruction.
    • It underscores the importance of conservative management and local care in achieving favorable outcomes.
    • The study contributes to understanding the resilience of tissue healing in complex oncologic reconstructions.