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ITALIAN JOURNAL OF MAXILLOFACIAL SURGERY

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Official Journal of the Italian Society of Maxillofacial Surgery


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Italian Journal of Maxillofacial Surgery 2014 Dicembre;25(2-3):69-73

lingua: Inglese

Cancer of the upper lip: combined reconstructive strategies. Review of the literature and case report

Elia G., Clauser L. C.

Unit of Cranio Maxillo Facial Surgery, Reference Center for Cranio-Facial Rare Anomalies, European Association for Cranio Maxillofacial Surgery, International Teaching Center Network, St. Anna Hospital and University, Ferrara, Italy


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Carcinoma of the upper lip is less frequent than that of the lower lip and affects both sexes in equal proportion. From a histological point of view mainly basal cell carcinomas are found, which originate in 50% of cases from the skin and adnexae. The authors describe a major defect of the upper lip after resection for carcinoma. Reconstruction was performed with resection and rotation of the lower lip according to Estlander. A deformity remained which was corrected with a lipostructure procedure. These techniques have yielded a good aesthetic and functional result maintaining the symmetry of the oral commissure. A clinical case is reported in which the resection and reconstruction according to Estlander were followed by volumetric restoration with lipostructure. The case refers to the excision of a basocellular carcinoma of the lateral third of the upper lip with involvement of the inside mucous membrane. A full-thickness resection and reconstruction with an Estlander flap were performed. Subsequently lipostructure of the perioral area completed the upper lip reconstruction.

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