Squamous cell carcinoma (SCC) of the lower lip is a
frequently diagnosed malignant pathology in the maxillofacial region. It is a
slow-growing cancer, and can be diagnosed and treated easily and effectively;
however, early treatment is important because its mortality rate is 10%-30%.
Reconstruction for a large lower lip defect is surgically challenging, especially
reconstruction with local flaps. Here, we present a 52-year-old male with a
large T3 SCC, which started 13 years before this treatment and involved nearly
all of his lower lip, oral commissure and upper lip. It was reconstructed by
local flaps with good aesthetic and functional results. The lip was reconstructed
with a combination of a Karapandzic flap on one side and a contralateral
Webster cheek advancement, using a functional neck dissection on the tumor
side and supraomohyoid neck dissection contralaterally. Histopathology
results of the neck were negative for metastasis. We were satisfied with the
aesthetic and functional results of the neck.