The authors present the case of an 80 years old patient, otherwise in good health, who presented with a squamous cell carcinoma involving both mucosal and cutaneous aspects of the lips and the mucosal aspect of the cheek that prevented normal feeding. The patient underwent full thickness excision of both upper and lower lip on the affected side, excision of the cheek mucosa and selective conservative neck dissection first, second and third level. Reconstruction was then undertaken by means of combined flaps: platisma myocutaneous flap for the inner lower lip, temporal muscle flap for the inner cheek, naso-genian flap for the upper lip and pedicled temporalis cutaneous flap with artery for the outer lower lip. This surgical technique was chosen for a number of reasons, including patient's age and past medical history and the extent of the local tumoral spread. We have used several flaps in order to obtain a better cosmetic outcome since, according to the rules of aesthetics, a single flap must be used for repair of a given area and not for repair of adjoining regions. In this case, the method has proved to be excellent as it has provided both radical excision of the tumor and restoration of the anatomy disrupted by the excision itself; the upper and lower lips are quite similar in lenght, there is no loss of saliva nor of food and fluids. In our experience, the best results are obtained when surgical techniques are taylored to the patients' needs.
|Number of pages||4|
|Journal||Rivista Italiana di Chirurgia Plastica|
|Publication status||Published - 1997|
ASJC Scopus subject areas