Published in:
01-12-2012 | Letter to the Editor
Lower lip reconstruction with Abbe–Estlander flap modification: preserving the same side vascular pedicle
Authors:
Selahattin Genc, Seher Sirin Ugur, Ilker Burak Arslan, Birgul Tuhanioglu, Ahmet Demir, Adin Selcuk
Published in:
European Archives of Oto-Rhino-Laryngology
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Issue 12/2012
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Excerpt
A 74-year-old man was referred to our clinic with a non-healing crusted lower lip ulcer. On examination, an ulcerated lower lip lesion measuring 1.5 × 1.5 cm was detected at a location 1 cm from the left oral commissure approaching the midline. There was no palpable lymphadenopathy in the neck. An incisional biopsy was carried out and the lesion was reported as squamous cell carcinoma. Supra-omohyoid bilateral neck dissections were performed and the tumor was excised. Vertical full-thickness incisions were made so as to leave a safety margin of 1 cm. The defect measuring 3.5 cm was reconstructed utilizing an ipsilateral upper lip Abbe–Estlander flap, which was prepared with 3-cm length and 1.5-cm base, preserving the superior labial artery. …