Surgical Treatment of Non-Traumatic Lower Lip Lesions with Special Reference to the Step Technique: A Follow-up on 149 Patients

Johanson, Bengt; Aspelund, Einar; Breine, U; Holmström, Hans

doi:10.3109/02844317409084399

Cited by 81 publications

(40 citation statements)

References 6 publications

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“…The most commonly used procedure for defect closure were the staircase flap according to Johanson et al (1974) (n=12) and the modified staircase technique of Kuttenberger and Hardt (1997) (Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

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Reconstructive surgery in advanced perioral non-melanoma skin cancer. Results in elderly patients.

Wollina¹

2014

J Dermatol Case Rep

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Background: Nonmelanoma skin cancer (NMSC) of the perioral region is not uncommon. Basal cell carcinoma is predominant in the upper lip area and squamous cell carcinoma in the lower lip area. While smaller lesions can be treated by excision followed by primary closure larger defects after tumor surgery can be challenging.Objectives: Analysis of outcome after complete surgical excision with micrographical control of excision margins (delayed Mohs surgery) of large NMSC's of the perioral region (lips and chin). Patients and methods:This is a retrospective, single-center analysis of patients with defects after delayed Mohs surgery of ≥ 3 cm of the perioral region. The study included a total of 25 patients (4 women and 21 men) with a mean age of 83.7 years. Twenty patients were diagnosed with squamous cell carcinoma and five had basal cell carcinoma. The lower lip was affected in 19 patients, the upper lip in 4 patients and the chin in 2 patients. Tumor stage was either T1N0M0 or T2N0M0. The most common procedure for lower lip defect closure was staircase or modified staircase technique. Cheek advancement flaps were used for upper lip defect closure. Inferiorly based nasolabial rotational flap, cheek rotational flap and modified Webster flap were also employed. In one patient Webster flap and unilateral staircase technique were combined. Results:In all patients the tumor was removed completely with preservation of function and aesthetics. No local recurrence was observed after a median follow-up of 4.9 years. Conclusion:Perioral reconstruction after removal of large NMSC is a complex issue. The age group of over 70 years, frequently with comorbidities, requires a robust surgical technique with short operation times and tailored approaches for defect closure. (J Dermatol Case Rep.

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Section: Resultsmentioning

confidence: 99%

“…1). [6][7][8] Modified Webster flap and inferiorly based nasolabial flap have been used for lower lip reconstruction (n = 1 each) (Figs. 2 & 3).…”

Section: Resultsmentioning

confidence: 99%

Reconstructive surgery in advanced perioral non-melanoma skin cancer. Results in elderly patients.

Wollina¹

2014

J Dermatol Case Rep

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“…The return of sensation is of particular benefit. Johanson et al [20] described the step ladder technique for lower lip reconstruction by advancing lip tissue opposite to site of defect. For the reconstruction of defects of the lateral parts of the lower lip the Abbe or Estlander cross-lip transposition flap may alternatively be employed depending on involvement of the commissure [21].…”

Section: Discussionmentioning

confidence: 99%

The Karapandzic Flap in Lower Lip Reconstruction

Degala¹,

Shetty²,

Monalisha³

2014

J. Maxillofac. Oral Surg.

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“…Der erste Kasten entspricht bei der unilatera len Treppenplastik der Defektbreite, bei der bilateralen Treppenplastik der hal ben. Die Kästen werden von Stufe zu Stufe kleiner, um in einem kleinen BurowDrei eck auszulaufen [17,23]. Für zentrale De fekte eignet sich die bilaterale, für laterale die unilaterale Treppenplastik.…”

Section: Treppenplastikunclassified

Strukturierte Versorgung von Lippendefekten

2011

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Although the incidence of tumors of the lips is low, they are the most common oral tumors and their therapy is often challenging for the surgeon. Depending on the extent of resected lip tissue, various surgical procedures are performed for reconstruction. They all follow the goal to combine complete tumor resection with maximal functional and aesthetic restoration. Surgical procedures are classified regarding the direction of tissue mobilization into one-, two- and three-dimensional techniques. Even though more than two hundred different techniques have been described, only a small number are used on a regular basis. To select the appropriate procedure for the individual patient the exact anatomic location and size of the defect have to be taken into consideration. Treatment algorithms may guide the surgeon to a suitable reconstructive procedure for each case. Complications may occur more often due to the size and the site of the procedure. Final functional and aesthetic results are usually satisfying.

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Surgical Treatment of Non-Traumatic Lower Lip Lesions with Special Reference to the Step Technique: A Follow-up on 149 Patients

Cited by 81 publications

References 6 publications

Reconstructive surgery in advanced perioral non-melanoma skin cancer. Results in elderly patients.

Reconstructive surgery in advanced perioral non-melanoma skin cancer. Results in elderly patients.

The Karapandzic Flap in Lower Lip Reconstruction

Strukturierte Versorgung von Lippendefekten

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