Applications of the Karapandzic principle of lip reconstruction after excision of lip cancer.

The number and variety of technics available for lip reconstruction has suggested to some authors that no method is ideal. In fact, excellent results can be obtained under proper circumstances by any one of several procedures. The principle of innervated myocutaneous flaps adds yet another tool to the surgeon's armamentarium, but it does not relieve him of the responsibility to select the most appropriate procedure in each case. As Karapandzic has stated (or understated), "This obviously is not a technique suitable for all lip defects, but in selected cases it gives a very satisfactory result."