title: Cancer of the perioral region.
abstract: The management of difficult perioral malignancies is often facilitated by an organized, multidisciplinary approach that utilizes the skills of a Mohs micrographic surgeon as well as a head and neck surgeon. This article summarizes such an approach with attention to anatomic considerations, tumor classification, prognosis, and a practical approach to such malignancies. Finally, an approach to reconstruction is presented that emphasizes the usefulness of a Karapandzic flap in large reconstructions of this region.
authors.affiliation: University of Pittsburgh, Pennsylvania.
authors.forename: J B
authors.initials: JB
authors.lastname: Goslen
authors.forename: J R
authors.initials: JR
authors.lastname: Thomas
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005260:Female; D006801:Humans; D008046:Lip / Q000033:anatomy & histology / Q000601:surgery; D008048:Lip Neoplasms / Q000601:surgery*; D008297:Male; D008866:Microsurgery; D012878:Skin Neoplasms / Q000601:surgery*; D013518:Surgery, Plastic / Q000379:methods