A case of reconstruction of advanced lip cancer with extended nasolabial flap

Abstract

The range of resection of malignant tumors of the lip is frequently extensive, and so reconstruction using flaps becomes necessary. A successful reconstruction requires appropriate esthetics, food ingestion, and speech function. A 79-year-old woman with upper and lower lip tumor was diagnosed with moderate squamous cell carcinoma. Resection of the upper and lower lip tumor was performed under general anesthesia. Reconstruction was conducted by applying an extended nasolabial flap, which was pedicle cheek skin with blood supplied from the angular artery and facial artery. A feature of this method is that it can be adapted to a wide range of lip defects and allows the operation time to be shortened.