When one considers surgical management of lip lesions, the cosmetic as well as the functional result is of importance. Our previous experience proves that lip lesions can be handled with excellent cosmetic results when the lesions are limited, but not when they extend on to the face or chin or when both lips are involved. Any procedure which removes the anterior mandible results in extreme loss of function, and the so-called Andy Gump profile is the usual result.
In the course of treating lip lesions, we found the bitubed pedicle flap useful in treatment when the lower third of the face was involved. Our opinion that this is a satisfactory method is based primarily on the functional result and, secondarily, on the cosmetic outcome.
Step 1.—A skin flap is elevated which is approximately 21/2 in. wide and 4 in. long. The anterior incision begins at the base of the
KRATZ RC, POWELEIT A. A Method for Handling Advanced Malignant Lesions of the Lip. Arch Otolaryngol. 1960;72(4):479–482. doi:10.1001/archotol.1960.00740010489010
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