title: Squamous cell carcinoma lower lip - an experience with Karapandzic technique.
abstract: Carcinoma of the lip is a common cancer of head and neck area. It occurs frequently on the lower lip of middle-aged and elderly males who have a history of chronic sun exposure. Surgical excision and radiotherapy are regarded as equally effective treatment options, but preferred method is surgical excision. Karapandzic technique provides myoneurovascular pedicled advancement flap for reconstruction of the defect after surgical excision. It is a simple and safe technique, functionally and esthetically, sacrifices little tissue, heals rapidly and is effective for repair of defects covering 1/3 to 4/5 of the lower lip. We report a 62 years male who presented with a large, fungating, pus-discharging and tender mass of lower lip. Biopsy confirmed squamous cell carcinoma. Tumor was excised and defect was reconstructed using Karapandzic technique. Patient remained asymptomatic during follow-up visits.
authors.affiliation: Department of Surgery, Combined Military Hospital, Kohat.
authors.forename: Muhammad Ikram
authors.initials: MI
authors.lastname: Khan
authors.forename: Mukarram
authors.initials: M
authors.lastname: Hussain
authors.forename: Muhammad
authors.initials: M
authors.lastname: Jamil
authors.forename: Muhammad
authors.initials: M
authors.lastname: Arif
authors.forename: Ahmad
authors.initials: A
authors.lastname: Raza
authors.forename: Mansab Amin
authors.initials: MA
authors.lastname: Chaudhary
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D006801:Humans; D008048:Lip Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps