Reconstruction of the lower lip

Area of Science:

• Plastic Surgery
• Oral and Maxillofacial Surgery
• Oncology

Background:

• Reconstruction of full-thickness lower lip defects presents surgical challenges.
• The classic Gillies fan flap is a known reconstructive technique.
• Addressing defects with associated pre-malignant changes requires tailored approaches.

Purpose of the Study:

• To describe a modified Gillies fan flap technique for lower lip reconstruction.
• To evaluate the applicability of this modified flap for various defect sizes.
• To assess its utility in conjunction with lip-shave procedures for oncologic cases.

Main Methods:

• Description of a modified Gillies fan flap surgical technique.
• Application of the flap for defects ranging from partial to complete lower lip loss.
• Integration of the technique with lip-shave procedures for oncologic resections.

Main Results:

• The modified Gillies fan flap is effective for lower lip defects of all sizes.
• The technique provides a viable reconstructive option for full-thickness lip loss.
• Successful application in cases combining squamous cell carcinoma and pre-malignant vermilion changes.

Conclusions:

• The modified Gillies fan flap offers a versatile and effective solution for lower lip reconstruction.
• This technique is suitable for a spectrum of defects, including extensive lip loss.
• It provides a valuable option for combined oncologic resection and reconstruction.