Terziqi H, Tarpila E
Dept. of Reconstructive and Plastic Surgery, University Hospital of Pristine, Kosovo.
Niger J Med. 2009 Apr-Jun;18(2):222-3.
Xeroderma Pigmentosum (XP) is a photosensitive skin disease with a high risk for developing skin malignancy. We present an 18-years-old boy with XP and recurrent basal and squamous cell carcinoma of lower lip. Because of scars from earlier resections Karapandzic circumoral advancement-rotation flap was performed. The method is suitable for defects covering 1/3 to 4/5 of the lower lip with possible involvement of commisura. 70% of the lip was resected and reconstruction was made with bilateral flaps. This reconstruction resulted in good oral muscular and sensory function. The scars followed natural folds of the face and despite a slight microstomia gave an acceptable esthetic appearance. The Karapandzic flap is simple and safe method for reconstruction of large defects of lower lip.
着色性干皮病（XP）是一种对皮肤恶性肿瘤发生具有高风险的光敏性皮肤病。我们报告一名18岁患有XP且下唇反复出现基底细胞癌和鳞状细胞癌的男孩。由于早期切除形成的瘢痕，实施了Karapandzic口周推进旋转皮瓣术。该方法适用于覆盖下唇1/3至4/5且可能累及口角的缺损。切除了70%的唇部并用双侧皮瓣进行重建。这种重建导致了良好的口腔肌肉和感觉功能。瘢痕沿着面部的自然褶皱，尽管有轻微的小口畸形，但外观尚可接受。Karapandzic皮瓣是一种用于下唇大缺损重建的简单且安全的方法。
