Verrucous carcinoma of the mandible: Surgical management with marginal resection and nasolabial flap reconstruction – A case report

Objectives: To report the clinical presentation, surgical management, and postoperative outcome of mandibular verrucous carcinoma treated with marginal resection and nasolabial flap reconstruction. Methods: A 49-year-old male with a history of tobacco chewing presented with an exophytic verrucous lesion on the mandibular alveolus. The patient underwent marginal mandibulectomy followed by reconstruction using an inferiorly based nasolabial flap under general anesthesia. Postoperative clinical evaluation and histopathological examination were performed. Results: Histopathology confirmed complete excision with tumor-free margins. Postoperative healing was satisfactory with good flap integration. At three-month follow-up, no recurrence was observed and functional and esthetic outcomes were favorable. Conclusions: Early diagnosis and aggressive surgical management remain essential for verrucous carcinoma. Marginal mandibulectomy combined with nasolabial flap reconstruction offers effective oncologic control while preserving oral function and facial aesthetics.