KARAPANDZIC FLAP FOR RECONSTRUCTION OF LOWER LIP (Total and Subtotal defect)

Abstract

Karapandzic flap is a modification of
Gilles fan flap is used for the reconstruction
of total and subtotal defectof lower
lip. 12 cases of post oncological excision
defect of lower lip are reconstructed with
karapandzic flap. The operative technique
for identification of neurovascular
bundle is defined in this paper (namely
motor buccal branch and sensory buccal
branch, superior labial artery and its perforator,
sometimes mental nerve
branch.).Author has given dissection
technique of identification of above mentioned
structure also we addressed microstomia
(usually results in this reconstruction)
by fabricated cheek angled
auricle retractors.
Keyword :Karapandzic flap, Modified
Gilles fan flap, Neurovascular bundle,
Microstomia, Fabricated cheek retractor.
Aim of study:
To define operative technique for the
safe harvest of Karapandzic flap
in the reconstruction of post oncological
excision of total and subtotal lower lip defect.