"Step technique" in the treatment of the loss of substance of the lower lip

The most frequent pathology of the lower lip is the neoplastic pathology and squamous cell carcinoma is the most clinically diagnosed. Wide excision is the correct surgical approach but it may cause severe morpho-functional and aesthetic damages. At the Plastic and Reconstructive Department of Polic...

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Bibliographic Details
Published in:Il Giornale di chirurgia 2010-11, Vol.31 (11-12), p.549-551
Main Authors: Chiummariello, S, Monarca, C, Rizzo, M I, Ruggiero, M, Gangemi, E N, Scuderi, N, Alfano, C
Format: Article
Language:Italian
Subjects:
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - surgery
Follow-Up Studies
Humans
Lip Neoplasms - pathology
Lip Neoplasms - surgery
Patient Satisfaction
Reconstructive Surgical Procedures - methods
Recovery of Function
Retrospective Studies
Surgical Flaps
Surveys and Questionnaires
Treatment Outcome
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Summary:The most frequent pathology of the lower lip is the neoplastic pathology and squamous cell carcinoma is the most clinically diagnosed. Wide excision is the correct surgical approach but it may cause severe morpho-functional and aesthetic damages. At the Plastic and Reconstructive Department of Policlinico Umberto I, " Sapienza" University of Rome, from 2005 to 2008 36 patients were treated, 19 only by surgical excision (Group I) and 17 by Johanson's technique (Group II). Follow-up was at 6 and 12 months to evaluate the morpho-functional outcome, the asymmetry and the healing. Moreover a questionnaire of 9 items was proposed to patients to evaluate functional and aesthetic results. Data showed that Johansons' s flap achieves the same results of the complete surgical excision but with better morpho-functional and aesthetic outcomes, greater satisfaction and same staying in hospital for patients.
ISSN:0391-9005