Combining two easy performance techniques for the reconstruction of lower lip defects: myomucosal advance flap and M-plasty

Abstract

Small surgical defects of the lower lip can be reconstructed through direct closure. Full-thickness defects with more than 30% involvement require complex reconstructions with high morbidity. We report the case of a patient diagnosed with squamous cell carcinoma in the lower lip whose resection resulted in a surgical defect of 45% of the lower lip. The reconstruction combined two well-established techniques: unilateral myomucosal advancement flap and M-plasty. This association acted synergistically, enabling the closure of the surgical defect with easy execution, low morbidity, and excellent aesthetic and functional results.

Keywords

• surgical flaps
• lip
• lip neoplasms
• carcinoma, squamous cell