Free-flap reconstruction of large full-thickness lip and chin defects.

OBJECTIVES

We describe our experience in the reconstruction of large 3-layer lip defects using free revascularized lower-arm and fibula flaps.

METHODS

Between 2005 and 2009, nine patients underwent free-flap reconstruction after oncological surgery involving the lip and chin with or without mandibular involvement. The flap techniques are described, and postoperative functional and aesthetic results were recorded.

RESULTS

There were no flap failures. All patients showed intact oral function and good aesthetic results. Two patients died of distant metastases, 8 months and 17 months after surgery.

CONCLUSIONS

Three-layer defects of the lip ideally require free-flap reconstruction, which has a high probability of achieving good functional and aesthetic results.