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KMID : 0358819800070010169
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1980 Volume.7 No. 1 p.169 ~ p.178
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Surgical Treatment of the Lip Cancer
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Choi Shi-Ho
Baik Bong-Soo
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Abstract
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Treatment of carcinoma of the lip should involve two considerations: therapy for the primary lesion and the approach to th regional nodes. The excsion of the primary lesion must be adequate and aesthetically acceptable.
Successful reconstruction of the lip is a difficult problem and about eighty different procedures for this operation were discovered in reviewing the literature but they may be classified into three broad categories: Stein-Abbe-Estlander principle, fan flap principle, utilizing flaps from the cheek, chin and neck. They possess advantages and disadvantages but most of them focused on anatomical structures about the mouth together with their physiologic action.
Authors report the 6 cases of lower lip carcinoma. After adequate excision of the tumors, the defects of the lips were reconstructed by Estlander or modified Estlander flap in 3 cases, Gillies "fan flap" in 1 case, advancement flap from the chin and neck in 1 case and fan flap combined with advancement flap from the cheek in 1 case.
The results of each procedure were discussed.
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