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Case Report: Reconstruction of the Lower Lip using the Karapandzic Flap

증례보고: Karapandzic Flap을 사용한 하순부 재건

  • Jun Sik Kim (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine) ;
  • Jae Bong Shin (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine) ;
  • Nam Gyun Kim (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine) ;
  • Gi Cheol Do (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine) ;
  • Min Hyung Kim (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine) ;
  • Tae Ho Kim (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine) ;
  • Kyung Suk Lee (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine)
  • 김준식 (경상국립대학교 병원 성형외과학교실) ;
  • 신재봉 (경상국립대학교 병원 성형외과학교실) ;
  • 김남균 (경상국립대학교 병원 성형외과학교실) ;
  • 도기철 (경상국립대학교 병원 성형외과학교실) ;
  • 김민형 (경상국립대학교 병원 성형외과학교실) ;
  • 김태호 (경상국립대학교 병원 성형외과학교실) ;
  • 이경석 (경상국립대학교 병원 성형외과학교실)
  • Received : 2023.09.11
  • Accepted : 2023.11.14
  • Published : 2023.11.30

Abstract

Squamous cell carcinoma of the lip is a common malignant tumor originating from oral cancer. However, unlike other areas, the lips hold significant functional and aesthetic importance as a part of the face. As a result, a tailored approach based on the tumor's size, type, and location is essential. The Karapandzic flap is especially suitable for reconstructing lesions located on the lip, particularly when the size of the cancer is large and other surgical treatments like free flaps are not feasible. It allows for extensive resection beyond the size of the lower lip. In this case, considering the patient's overall condition, successful reconstruction of the lower lip was achieved using the Karapandzic flap.

Keywords

References

  1. Regezi J. Sciubba J. Oral pathology: Clinical pathologic correlations. Elsevier Health Sciences. 2016;79:84-85. 
  2. Bilkay U, Kerem H, Ozek C. Management of lower lip cancer: A retrospective analysis of 118 patients and review of the literature. Ann Plast Surg. 2003;50:43-44.  https://doi.org/10.1097/00000637-200301000-00008
  3. Zide MF, Fuselier C. The partial-thickness cross-lip flap for correction of postoncologic defects. J Oral Maxillofac Surg. 2001;59:1147-1153.  https://doi.org/10.1053/joms.2001.26715
  4. Frierson HF, Cooper PH. Prognostic factors in squamous cell carcinoma of the lower lip. Hum Pathol. 1986;17:347. 
  5. Hosal IN, Onerci M, Kaya S. Squamous cell carcinoma of the lower lip. Am J Otolaryngol. 1992;13:363-365.  https://doi.org/10.1016/0196-0709(92)90077-7
  6. Santos LR, Cernea CR, Kowalski LP. Carneiro PC. Squamous-cell carcinoma of the lower lip: A retrospective study of 58 patients. Sao Paulo Medical Journal. 1996;114:1117-1126.  https://doi.org/10.1590/S1516-31801996000200003
  7. Brown RG, Poole MD, Calamel PM, Bakamjiam VY. Advanced and recurrent squamous carcinoma of the lower lip. Am J Surg. 1976;132:492-497.  https://doi.org/10.1016/0002-9610(76)90326-3
  8. Zurrida S, Bartoli C, Bono A, Chiesa F. Outpatient surgical treatment of lip carcinomas: Immediate and long-term results. Tumori. 1989;75:263-265.  https://doi.org/10.1177/030089168907500315
  9. Cruse CW, Radocha RF. Squamous-cell carcinoma of the lip. Plast Reconstr Surg. 1987;80:787-791.  https://doi.org/10.1097/00006534-198712000-00005
  10. Frierson HF Jr, Cooper PH. Prognostic factors in squamous-cell carcinoma of the lower lip. Human Pathol. 1986;17:346-354. https://doi.org/10.1016/S0046-8177(86)80457-9