Reconstruction of the lower lip defect with nasolabial flap
Session
Medicine and Nursing
Description
Squamous cell carcinoma of the lower lip of the mouth is not a rare pathology. The defects of the lower lip that remain after their surgical treatment can be of different sizes, depending on the stage of squamous cell carcinoma and the time of presentation of the patient to the surgeon. Complete defects, complete removals of the lower lip of the mouth as a result of squamous cell carcinoma, represent a great reconstructive challenge for the plastic surgeon. In these cases, the nasolabial flap represents a good solution for the complete reconstruction of the lower lip. Case presentation: We will present a case with squamous cell carcinoma that involved the lower lip of the mouth, and after radical surgical intervention, a complete defect of the lip was created. In these conditions, it is decided to perform a full reconstruction of the lip with two nasolabial flaps, with inferior peduncles and based on the perforators of the facial a. After raising the nasolabial flaps, the right flap is turned with the skin towards the mouth, while the left flap with the skin facing outwards, a sandwich flap is created. Finally, the vermilion of the reconstructed lip, or the upper edges of both flaps, is created (covered) with a full skin graft (FSG). Conclusion: The reconstruction of the complete defects of the lower lip of the mouth with nasolabial flap represents a satisfactory solution and is accepted by the patient, not only in the reconstructive aspect but also in the aesthetic aspect.
Keywords:
Squamous cell carcinoma, lower lip, complete lip defect, nasolabial flap
Proceedings Editor
Edmond Hajrizi
ISBN
978-9951-982-41-2
Location
UBT Lipjan, Kosovo
Start Date
25-10-2025 9:00 AM
End Date
26-10-2025 6:00 PM
DOI
10.33107/ubt-ic.2025.371
Recommended Citation
Buja, Zejnë; Ukshini, Jehona; Abazi, Sanije; Ramadani, Havushe; Deliu, Besnik; and Elshani, Marigona, "Reconstruction of the lower lip defect with nasolabial flap" (2025). UBT International Conference. 16.
https://knowledgecenter.ubt-uni.net/conference/2025UBTIC/MN/16
Reconstruction of the lower lip defect with nasolabial flap
UBT Lipjan, Kosovo
Squamous cell carcinoma of the lower lip of the mouth is not a rare pathology. The defects of the lower lip that remain after their surgical treatment can be of different sizes, depending on the stage of squamous cell carcinoma and the time of presentation of the patient to the surgeon. Complete defects, complete removals of the lower lip of the mouth as a result of squamous cell carcinoma, represent a great reconstructive challenge for the plastic surgeon. In these cases, the nasolabial flap represents a good solution for the complete reconstruction of the lower lip. Case presentation: We will present a case with squamous cell carcinoma that involved the lower lip of the mouth, and after radical surgical intervention, a complete defect of the lip was created. In these conditions, it is decided to perform a full reconstruction of the lip with two nasolabial flaps, with inferior peduncles and based on the perforators of the facial a. After raising the nasolabial flaps, the right flap is turned with the skin towards the mouth, while the left flap with the skin facing outwards, a sandwich flap is created. Finally, the vermilion of the reconstructed lip, or the upper edges of both flaps, is created (covered) with a full skin graft (FSG). Conclusion: The reconstruction of the complete defects of the lower lip of the mouth with nasolabial flap represents a satisfactory solution and is accepted by the patient, not only in the reconstructive aspect but also in the aesthetic aspect.