Samal Dillip Kumar, Parida Pradipta K, Pradhan Pradeep, Veetil Aswathi Kallyadan, Karakkandy Vinusree
Department of Otorhinolaryngology, AIIMS, Academic Block, Room No. 413, Bhubaneswar, 751019 India.
Indian J Otolaryngol Head Neck Surg. 2024 Apr;76(2):2117-2120. doi: 10.1007/s12070-023-04436-3. Epub 2024 Jan 9.
Lip plays an essential role in facial esthetic, food intake, and speech. Lip defect due to trauma or surgical excision needs proper reconstruction to preserve their function. Carcinoma lip is one of the common malignant lesions in the head and neck, which needs wide local excision with proper margin with neck clearance. When the size is more than two-thirds, it becomes a challenge to reconstruct and preserve its functionality and aesthetic issues. Bilateral karapandzic flap plays an important role in this case scenario. We have two cases of subtotal lower lip defect following squamous cell carcinoma of the lower lip excision, which was reconstructed with a bilateral karapandzic flap with reasonable functional outcome and cosmesis. Thus, bilateral karapandzic flap can be an alternative option to free flap in resource-constrained scenarios with acceptable functional outcomes.
唇部在面部美学、食物摄取及言语功能中起着至关重要的作用。因创伤或手术切除导致的唇部缺损需要进行恰当的重建以保留其功能。唇癌是头颈部常见的恶性病变之一，需要进行广泛的局部切除，切除边缘要适当，并进行颈部清扫。当缺损面积超过三分之二时，重建并保留其功能及美观就成为一项挑战。双侧 Karapandzic 皮瓣在这种情况下发挥着重要作用。我们有两例下唇鳞状细胞癌切除术后下唇大部缺损的病例，采用双侧 Karapandzic 皮瓣进行重建，获得了合理的功能效果及美容效果。因此，在资源有限的情况下，双侧 Karapandzic 皮瓣可作为游离皮瓣的替代选择，且功能效果可接受。
