Case Note Surgery for recurrent lower lip carcinoma

A 38 year old gentleman presented with recurrent Squamos cell carcinoma of lower lip. He had earlier undergone previous surgeries and radiotherapy. At the time that he presented in KMCTH his lower lip area was much scarred and the tongue was shrunk and unavailable for vermilion reconstruction. This case report is an account of the various treatment carried out to reconstruct the lip. It was done with co-operation of the ENT department. Key words: Recurrent squamous cell carcinoma, Gillies fan �ap, Deltopectoral �ap, Delay of �aps Squamous cell carcinoma of lower lip is not uncommon. This patient does not give any history of smoking or chewing ‘pan’,’supari ’ in excess. His surgery was made more dif�cult by the presence of scarring from previous surgery and radiotherapy. Nevertheless, local �aps were used to reconstruct the lip as the blood supply in the face is very rich. When recurrence occurred, the Deltopectoral �ap was used a