Lips and Facial Defects Repair

Abstract

The pathology involving the lips and adjoining face are usually malignant in nature. They are squamous cell carcinoma and basal cell carcinoma. The very superficial lesion limited to the mucosa are excised by lip shaping and lip shaving with ‘v’ excision. Deeper lesion occurring in the lower lip in midline are managed with the help of ‘v’ excision and repair. Abbe-Estlander flap is needed when the full thickness of the upper or lower lip is to be excised and normal part of the lip is anastomosed. For still bigger lesion, Karapandzic used to repair lip following excision of squamous cell carcinoma; it preserve the neuromuscular function as much as possible. Medial canthal defect is repaired by split-forehead flap. Bilobed flap and V-Y advancement is needed following excision of basal cell carcinoma in the cheek or cheek–nose junction area. Temporalis muscle flap is used following facial palsy of long duration. Deep plane rotation flap is needed following excision of neurofibroma involving the facial skin.