“LIP SHAVE” TECHNIQUE: LITERATURE REVIEW AND CASE PRESENTATION

Abstract

Introduction: Actinic cheilitis is a pre-malignant condition, mostly located on the lower lip, and can progress to squamous cell carcinoma, with higher tendency for metastasis than cutaneous squamous cell carcinoma. Several methods of treatment have been proposed, like electrosurgery and excision of the actinic damage via laser treatment. However, all methods have limitations. On the other hand, the surgical technique known as “lip shave”, achieves complete removal of the lesion, and promotes the reconstruction of the vermilion border. Case presentation: A 65-years old patient was referred to our Department for treatment of a lesion extended to the whole lower lip, diagnosed as actinic cheilitis after partial biopsy and histopathological examination. Under local anesthesia the outlined lesion was entirely excised, while the lip is was firmly immobilised with the thumb. After the mucosa was first elevated by sharp dissection from one corner, it was then conveniently removed by curved, pointed scissors down to the muscular layer. After securing haemostasis, three “key sutures” were first placed, in order to achieve an even symmetrical closure. The final closure of the wound was achieved with continuous locking suture. Conclusion: The "lip shave" is a non-deforming plastic and reconstructive procedure of great value for prophylaxis and treatment of lip cancer, and for cosmetic correction of certain congenital, neoplastic, and traumatic lip deformities.