Abstract
Aim: Carcinoma of the upper lip is less frequent than in the lower lip. It affects both sexes in equal proportion. Histologically basal cell carcinomas are numerically preponderant and are observed in 50% of cases in the skin and adnexae in the oro-facial area. Methods: The authors describe a major defect of the right upper lip after a wide resection for carcinoma. Immediate reconstruction was performed with rotation of a flap from the lower lip according to Estlander. The postoperative oral deformity persisted after radiotherapy and during the subsequent follow up. At a later stage, and after radiotherapy, two lipostructure procedures improved the volumetric, soft tissue texture and functional outcomes. The combination of these techniques yielded a satisfactory morpho-functional result maintaining symmetry, function and aesthetics in the orofacial and in the labial-commissure area. Conclusion: A clinical case of right upper lip basocellular carcinoma is reported. Resection and immediate reconstruction with a flap rotation from the lower lip flap according to Estlander, were carried out. During the follow-up lipostructure procedures improved volumes, functions, morphology and soft tissue texture as well.
Highlights
Carcinoma of the upper lip is less frequent than in the lower lip
Patients undergoing a resection of the upper lip generally have wide soft tissue defects.Large defects of the upper and lower lips are often reconstructed with Estlander or Abbe rotation flaps.[1]
The Estlander operation consists of a tumor removal involving a V shape full-thickness resection of the labial commissure and the lateral part of the upper lip
Summary
Carcinoma of the upper lip is less frequent than in the lower lip. It affects both sexes in equal proportion. The use of autologous grafts of adipose tissue to correct facial defects was described for the first time in the literature by Neuber in 1893.[5] In recent years new concepts have been developed leading to the creation of an adequate technique with established indications and predictable results This was due to the research and experience of Dr Sydney Coleman who in 1997 had systematized and refined the technique.[6,7,8] Adipose tissue has the advantages to be biocompatible, attainable in large quantities, having a low morbidity unlike many alloplastic materials which often cause foreign body reaction.[9,10]Today, lipostructure is indicated for the correction of localized soft https://escipub.com/american-journal-of-cancer-research-and-reviews/
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