CASE REPORT article
Front. Med.
Sec. Dermatology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1658394
This article is part of the Research TopicNext-Generation Technologies and Multidisciplinary Integration for Oral Cancer Diagnosis and TreatmentView all 4 articles
Two Strip Flap Technique for Total Lower Lip Reconstruction: Case Report
Provisionally accepted
- Department of Plastic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
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Background: Malignant tumor removal can cause extensive lower lip tissue loss, affecting speech, expression, and swallowing functions. Methods: We describe our experience with two cases using a modification of the nasolabial flap technique for total lower lip reconstruction. This approach employs two long strip-shaped flaps rotated to reconstruct the entire lower lip, which helps mitigate functional limitations caused by microstomia. Results: Two patients underwent successful reconstruction with normal lip function, no microstomia, and restored eating ability. Partial vermillion remained visible with good lip shape. No complications occurred during follow-up (12 months), with satisfactory oral competence and no drooling or speech impairment. Conclusions: This technique avoids microstomia common in traditional approaches while achieving satisfactory functional and aesthetic outcomes. The technique represents a viable option for total lower lip reconstruction with favorable outcomes in our limited series.
Keywords: Lower lip reconstruction, full lower lip repair, Nasolabial flap, strip flap, oral cancer
Received: 02 Jul 2025; Accepted: 16 Sep 2025.
Copyright: © 2025 Wenli, Xiao, Tong and Nengqiang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Jing Tong, 18696194072@163.com
Guo Nengqiang, guonq2012@hotmail.com
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