Double rhomboidal flap for reconstruction of large surgical defect of the labial commissure

Closure of perioral surgical defects involving the oral commissures is highly challenging. We describe a 69-year-old male patient with a large basal cell carcinoma of the right perioral region, extending to the right oral commissure. This lesion was radically excised, and the resulting surgical defe...

Full description

Saved in:
Bibliographic Details
Published in:Anais brasileiros de dermatología 2012-05, Vol.87 (3), p.456-458
Main Authors: Andrade, Pedro, Brinca, Ana, Vieira, Ricardo, Figueiredo, Américo
Format: Article
Language:English
Subjects:
Aged
Carcinoma, Basal Cell - pathology
Carcinoma, Basal Cell - surgery
Dermatologic Surgical Procedures - methods
DERMATOLOGY
Facial Neoplasms - pathology
Facial Neoplasms - surgery
Humans
Lip - pathology
Lip - surgery
Male
Neoplasm Invasiveness
Surgical Flaps
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Closure of perioral surgical defects involving the oral commissures is highly challenging. We describe a 69-year-old male patient with a large basal cell carcinoma of the right perioral region, extending to the right oral commissure. This lesion was radically excised, and the resulting surgical defect was closed using a homolateral double opposing rhomboidal flap. The final result was esthetically very satisfactory, with total preservation of lip function. Double opposing rhomboidal flaps are viable surgical options for the reconstruction of surgical defects involving the perioral area and oral commissures. In this relatively simple procedure, donor skin is obtained from the nearby cheek and mandibular areas, under low risk of surgical complications, preserving lip function without distortion of the labial anatomy.
ISSN:0365-0596
1806-4841
1806-4841
0365-0596
DOI:10.1590/S0365-05962012000300015