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    Combined Karapandzic-Abbe/Estlander/Stein flap for subtotal and total lower lip reconstruction.

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    Authors
    Uglesic, V
    Amin, K
    Dediol, E
    Kosutic, Damir
    Affiliation
    Department of Maxillofacial Surgery, Division of Plastic and Reconstructive Surgery of the Head and neck, University Clinical Hospital Dubrava, Avenija Gojka Suska 6, 10000 Zagreb, Croatia
    Issue Date
    2018
    
    Metadata
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    Abstract
    BACKGROUND: Lower lip reconstruction remains a challenging task due to multi-functional and high aesthetic requirements that have to be achieved for successful outcome. This is particularly true to near-total lower lip defects, encompassing over 70% of lower lip loss due to cancer, trauma or burns. Despite the fact that numerous flaps and their modifications have been described over the past century, only a few valuable techniques and concepts withstood the test of time for sub-total lower lip defects, each having their own drawbacks. We describe a new approach to these defects combining bilateral Karapandzic and Abbe/Estlander/Stein flaps, not reported so far, and present our long term outcomes. METHODS: From 2012 to 2016, five patients with T4 lower lip squamous cell carcinoma (SCC) underwent near-total and total lower lip resection and reconstruction with a combination of bilateral Karapandzic flap and double Abbé/Estlander/Stein flaps from the upper lip. RESULTS: Our patients were between 44 and 88 years old (mean 66.6). All flaps healed uneventfully in all patients. Patients were followed up between 18 and 60 months (mean follow up 33.6 months). There were no local tumor recurrencies. All patients were able to eat perorally whilst reconstructed lips were fully functional. No drooling was observed and aesthetic outcomes were excellent. CONCLUSIONS: Combined bilateral Karapandzic and Abbe/Estlander/Stein flaps can produce excellent functional and aesthetic outcomes in near total and total lower lip reconstructions and should be considered a reliable reconstructive option in patients with more then 70% of lower lip loss.
    Citation
    Uglesic V, Amin K, Dediol E, Kosutic D. Combined Karapandzic-Abbe/Estlander/Stein flap for subtotal and total lower lip reconstruction. J Plast Reconstr Aesthet Surg. 2018 Nov 22.
    Journal
    Journal of Plastic, Reconstructive, and Aesthetic Surgery
    URI
    http://hdl.handle.net/10541/621566
    DOI
    10.1016/j.bjps.2018.11.005
    PubMed ID
    30660466
    Additional Links
    https://dx.doi.org/10.1016/j.bjps.2018.11.005
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.bjps.2018.11.005
    Scopus Count
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