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Alternatives to Cross-Lip and Distant Flaps in the Reconstruction of Ablative Lip Defects

Peter G. Smith, MD, PhD; Harlan R. Muntz, MD; Stanley E. Thawley, MD

Arch Otolaryngol. 1982;108(11):714-718.

Abstract
• Cross-lip and distal flaps are still advocated in current literature for the reconstruction of large, traumatic, or surgically created lip defects. Myocutaneous advancement flaps, however, have yielded a functionally and cosmetically superior result. Moreover, they represent single-stage repairs that are technically easy to create. The most common complication noted with the use of a Karapandzic labioplasty has been a relative microstomia. An easily introduced, tripartite maxillary denture has been designed for thus affected edentulous patients. The use of these flaps in the management of advanced lip cancers dictates careful perioperative planning, principles of which are described.

(Arch Otolaryngol 1982;108:714-718)

Author Affiliations
From the Department of Otolaryngology, Washington University School of Medicine, St Louis.

Footnotes
Accepted for publication May 10, 1982.

Read in part before the meeting of the American Academy of Facial Plastic and Reconstructive Surgery, New Orleans, Sept 26, 1981.

Reprints not available.

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