Defect involving both the cutaneous and the vermilion lip.
An 89-year-old white male presented for Mohs micrographic surgical extirpation of an invasive squamous cell carcinoma on his right lower lip. Extirpation required two stages of Mohs surgery and produced a 1.5 x 3.7 cm partial-thickness defect involving both the cutaneous and the vermilion lip, with little loss to the underlying orbicularis oris muscles (Figure 1). How would you repair the defect?
Fisher
Galen H
GH
New York, NY, USA.
Geronemus
Roy G
RG
Bernstein
Leonard
L
D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D006801:Humans; D008048:Lip Neoplasms / Q000601:surgery*; D008297:Male; D015580:Mohs Surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps