title: The karapandzic flap in lower lip reconstruction.
abstract: Human bite injuries are both deceptive and challenging in their presentation and management. They are particularly notorious due to the polymicrobial nature of human saliva inoculated in the wound and the risk they pose for transmission of infectious diseases. Early treatment, appropriate prophylaxis and surgical evaluation are the key to achieving desired treatment outcomes. Here we present a case report of human lip bite with significant tissue loss that required reconstruction. The reconstructive techniques are usually varied but the ultimate objectives of treatment are to achieve healing, function, and aesthetics. Through this article, we have tried to focus on the diagnostic features, reconstructive procedure as well as other recommended treatment options for human lip bites based on the current available evidence.
authors.affiliation: Department of OMFS, JSS Dental College and Hospital, JSS University, Mysore, Karnataka India.
authors.forename: Saikrishna
authors.initials: S
authors.lastname: Degala
authors.affiliation: Department of OMFS, JSS Dental College and Hospital, JSS University, Mysore, Karnataka India.
authors.forename: Sujith Kumar
authors.initials: SK
authors.lastname: Shetty
authors.affiliation: Department of OMFS, JSS Dental College and Hospital, JSS University, Mysore, Karnataka India.
authors.lastname: Monalisha
keywords: Human lip bite; Karapandzic flap; Lip reconstruction
references.citation: J Am Acad Dermatol. 1995 Dec;33(6):1019-29
references.pmid: 7490347
references.citation: Scand J Plast Reconstr Surg. 1974;8(3):232-40
references.pmid: 4617298
references.citation: Br J Plast Surg. 1984 Jan;37(1):52-4
references.pmid: 6692061
references.citation: Br J Plast Surg. 1974 Jan;27(1):93-7
references.pmid: 4593704
references.citation: Int J Oral Maxillofac Surg. 2005 Jul;34(5):464-72
references.pmid: 16053863
references.citation: Am J Emerg Med. 2002 Mar;20(2):114-7
references.pmid: 11880877
references.citation: Plast Reconstr Surg. 1991 Aug;88(2):209-14
references.pmid: 1852812
references.citation: J Craniofac Surg. 2003 May;14(3):393-405
references.pmid: 12826811
references.citation: Plast Reconstr Surg. 1977 May;59(5):680-8
references.pmid: 322171
references.citation: Clin Infect Dis. 1994 Sep;19(3):546-7
references.pmid: 7811879
references.citation: Br J Plast Surg. 1983 Jan;36(1):40-7
references.pmid: 6821724
references.citation: Br J Plast Surg. 1987 Sep;40(5):454-8
references.pmid: 3676570
references.citation: Br J Plast Surg. 1980 Jul;33(3):340-5
references.pmid: 7426811
references.citation: Arch Intern Med. 1997 Sep 8;157(16):1901
references.pmid: 9290551
references.citation: Br J Plast Surg. 1992 Nov-Dec;45(8):614-5
references.pmid: 1493537
references.citation: Plast Reconstr Surg. 1968 Nov;42(5):481-3
references.pmid: 4880838
references.citation: Acad Emerg Med. 2000 Feb;7(2):157-61
references.pmid: 10691074
references.citation: Sex Transm Dis. 1981 Jan-Mar;8(1):21-2
references.pmid: 7221806
references.citation: Lancet. 1991 Dec 7;338(8780):1466
references.pmid: 1683455
references.citation: Br J Plast Surg. 1977 Oct;30(4):316-8
references.pmid: 338075
references.citation: Facial Plast Surg. 1987 Spring;4(3):233-45
references.pmid: 3481620
references.citation: Br J Plast Surg. 1964 Jan;17:76-87
references.pmid: 14103357
references.citation: Acad Emerg Med. 2003 Dec;10(12):1345-53
references.pmid: 14644787
references.citation: Can J Infect Dis Med Microbiol. 2005 Jul;16(4):221-4
references.pmid: 18159548