Lower Lip Oncoplastic Reconstruction Through Bilateral Karapandzic Flap

Lip squamous cell carcinoma (SCC) is the most common type of lip cancer, and the most common area is the lower lip, comprising approximately 90%. Surgical resection is currently the best method in the treatment of SCC, but it has been associated with anatomical, functional and aesthetic defects Objective: Report a bilateral neurovascular Karapandzic flap as a solution after an oncological resection of the vermillion lower lip. Clinical Case:56 years old male with a moderated differentiated squamous cell carcinoma of the lower lip with an oncologic resection + negative intraoperative frozen cut + I-III selective neck lymph dissection and immediate reconstruction by the Plastic and Reconstructive service through a bilateral Karapandzic flap. Discusion And Conclusion: Following the treatment of lips carcinoma, surgeons have described many reconstructive techniques to overcome significant defects. The Karapandzic flap is suitable for reconstructing large defects of the lower lip and can be completed quickly and safely in a single procedure. These one has the advantage of preserving blood vessels and nerves of the flaps and allows for the preservation of sphincteric function. Each technique has its advantages and disadvantages, and for flaps, the surgeon must consider factors such as blunting of the repaired commissure, flap loss, sensory loss, lip asymmetry, microstomia, and hypersensitivity, poor oral competence with drooling, undesirable scarring, flap necrosis, and edema, among others.