Wave technique for treatment of lower lip cancer |
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| Authors: | Attilio Carlo Salgarelli Cristina Magnoni Pierantonio Bellini |
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| Institution: | 1. Unit of Maxillofacial Surgery (Chief: Prof. Luigi Chiarini), Head and Neck Surgery Department (Chief: Prof. Ugo Consolo), Modena and Reggio Emilia University, Via del Pozzo 71, 41100 Modena, Italy;2. Unit of Dermatology (Chief: Prof. Giovanni Pellacani), Head and Neck Surgery Department (Chief: Prof. Ugo Consolo), Modena and Reggio Emilia University, Via del Pozzo 71, 41100 Modena, Italy;1. Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 138-736, Republic of Korea;2. Department of Nuclear Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea;3. Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea;4. Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea;5. Biomedical Research Institute, Korea Institute of Science and Technology, 39-1 Hawolgok-dong, Seongbuk-gu, Seoul 136-791, Republic of Korea;1. Department of Oral and Maxillofacial Surgery, Affiliated Stomatology Hospital of Kunming Medical University, Kunming 650031, China;2. Department of Computer Tomography, Second Affiliated Hospital of Kunming Medical University, Kunming 650101, China;1. Department of Otorhinolaryngology, Kitasato University School of Medicine, Japan;2. Tokai Voice Clinic Center, Tokai University Tokyo Hospital, Japan |
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| Abstract: | PurposeThis article reports the authors’ experience with treatment of lower lip cancer using the wave technique.Patients and methodsTwenty-one patients (16 males, 5 females) were treated using the wave technique between September 2009 and October 2010. Patients undergoing the procedure had tumors that were classified as either T1N0M0 or T2N0M0. Lateral defects less than 2 cm in size are generally treated with unilateral flaps, and median defects are closed with bilateral symmetric flaps. If the defect is paramedian and greater than 2 cm in width, two asymmetric flaps are used.ResultsNo recurrence was observed during a 6- to 32 months follow-up (mean 19 months). All patients showed excellent esthetic results with no microstomia.ConclusionsWe modified the straight lines of the staircase technique into round lines of the wave technique, resulting in an esthetic improvement. The goal of the broken lines and round lines is to create less visible scars. The wave technique can be used to close defects of up to two-thirds of the lower lip. |
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