Lower lip reconstruction with the Karapandzic flap or the Colmenero flap: Description of results.

Anna Sumarroca, Carmen Vega, Susana López, Andreas Leidinger, Gabriel Pedemonte, Xavier León, José Miguel Costa-González
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Abstract

Background and objective: Reconstruction of medium and large oncological defects of the lower lip must preserve the functionality and aesthetics of the area and is usually solved with local pedicled flaps, rarely compared between them. The aim of this study is to analyse our case series of lower lip reconstruction using the Karapandzic flap or the Colmenero flap, and to describe their techniques and results.

Materials and methods: We performed a retrospective review of patients who underwent lower lip resection and reconstruction with the Colmenero flap or Karapandzic flap during the period 2015-2022 with a minimum follow-up time of more than one year. The defect size, treatment, complications, reinterventions and final outcome were analysed.

Results: A total of 22 patients underwent surgery: 13 of them were reconstructed with Karapandzic flaps, all bilateral (26 flaps) and with a mean defect size of 4.05 cm (2.9-6.5 cm). 9 patients were reconstructed with Colmenero flaps, of which 4 bilaterally (13 flaps), with a mean defect size of 4.16 cm (3-7.5 cm). All flaps were viable and all complications (5 among Karapandzic flaps and 4 among Colmenero flaps), mostly minor, were resolved. There were no statistically significant differences between the sizes of the reconstructed defects or between the complications of the two flaps. All patients had a total oral intake of food, no speech defects and a good final aesthetic result.

Conclusions: The surgical techniques of lower lip reconstruction with the Karapandzic flap or the Colmenero flap are very reliable, simple in design, with similar and very satisfactory functional and aesthetic results.

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背景和目的:下唇大中型肿瘤性缺损的重建必须保留该区域的功能性和美观性,通常采用局部带蒂皮瓣来解决,很少对两者进行比较。本研究旨在分析我们使用卡拉潘季奇皮瓣或科尔梅内罗皮瓣重建下唇的系列病例,并描述它们的技术和效果:我们对2015-2022年间接受下唇切除术并使用Colmenero皮瓣或Karapandzic皮瓣进行重建的患者进行了回顾性研究,随访时间至少超过一年。对患者的缺损大小、治疗方法、并发症、再干预和最终结果进行了分析:共有 22 名患者接受了手术:结果:共有 22 名患者接受了手术:其中 13 人采用卡拉潘奇皮瓣重建,均为双侧(26 个皮瓣),平均缺损大小为 4.05 厘米(2.9 - 6.5 厘米)。9名患者使用Colmenero皮瓣进行了重建,其中4名患者使用双侧皮瓣(13个皮瓣),平均缺损面积为4.16厘米(3-7.5厘米)。所有皮瓣均存活,所有并发症(卡拉潘季奇皮瓣 5 例,科尔梅内罗皮瓣 4 例)均已解决,其中大部分为轻微并发症。重建缺损的大小和两种皮瓣的并发症之间没有明显的统计学差异。所有患者均能完全经口进食,无语言缺陷,最终美观效果良好:使用卡拉潘季奇皮瓣或科尔梅内罗皮瓣重建下唇的手术技术非常可靠,设计简单,具有相似且非常令人满意的功能和美学效果。
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