Combined Rotation and Advancement Flap Reconstruction for a Defect of the Upper Lip: 2 Cases

Many types of upper lip reconstruction have been introduced to treat defects after a tumorexcision or trauma. The authors treated two cases of upper lip defects. A 35-year-old womanpresented with a squamous cell carcinoma of the left upper lip that had invaded the cornerof the mouth. After resecting the tumor, the defect was 3.7×3.5 cm in size. A 52-year-oldwoman presented with a dog bite of the right upper lip. The defect measured 4.0×2.2 cm insize. The two cases were reconstructed by combined rotation and advancement of a cheekflap. This technique produced a good functional outcome that allowed for oral competenceand created an opening of adequate size. A combination of rotation and an advancementflap can be used to treat upper lip defects in a single-stage procedure. This approach producesa good functional and cosmetic outcome.