Modified Mc-Gregor’s fan flap for lower lip reconstruction: a two years institutional experience

Pratik R. Shah; Mehul K. Patel

doi:10.18203/2349-2902.isj20180449

Authors

Pratik R. Shah Department of Surgery, GMERS Medical College, Gandhinagar, Gujarat, India
Mehul K. Patel Department of Oncosurgery, GCRI, Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/2349-2902.isj20180449

Keywords:

Fan flaps, Lower lip

Abstract

Background: Aim of the study was to evaluate the modified fan flaps done during the past two years with regard to applicability, reliability, functional perspective and complications.

Methods: All the cases of lower lip defects which were reconstructed using modified Mc Gregor’s fan flaps were included and followed up prospectively at periodic intervals up to 2 years. The indications, applicability to defect size, postoperative aesthetic and functional results and drawbacks were noted.

Results: Total 21 modified fan flaps were done during this period. All were done for squamous cell carcinoma affecting lower lip. All the flaps survived, four patients had marginal mucosal loss of neovermilion which healed by secondary intention, 1 case of Bilateral modified Gilles fan flap developed little microstomia, 1 flap with bilateral fan flap had dehiscence of suture line leading to significant morbidity which later had to be closed by secondary resuturing.

Conclusions: The modified Mc-Gregors fan flaps are safe and reliable flap for lower lip reconstruction in terms of acceptability and function.

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References

Mathes SJ, Nahai F. Orbicularis oris flap (in) constructive surgery- Principles Anatomy and Technique. Churchill Livingstone: New York.

Hasson O. Squamous cell carcinoma of lower lip. J Oral Maxillofac Surg. 2008;66:1259-62.

McGregor IA. Reconstruction of the lower lip. Br J Plast Surg. 1983;36:40-7.

Jabaley ME, Clement RL, Orcutt TW. Myocutaneous flaps in lip reconstruction. Applications of the Karapandzic principle. Plas and Recon Surg. 1977;59:680-8.

Gillies HD, Millard DR. The principles and Art of plastic surgery. Boston, Mass: little, brown: 1957.

Karapandzic M. Reconstruction of lip defects by local arterial flaps. Br J Plast Surg. 1974;27(1):93-7.

Jackson IT. Local flaps in head and neck reconstruction. CV Mosby; 1985 Nov 1.

Saraiya HA. Modification of McGregor fan flap for reconstruction of full thickness defect of lower lip and vermilion. J Plast Reconstruct Aesth Surg. 2011;64(10):1390-2.

Nakajima T, Yoshimura T, Kami T. Reconstruction of the lower lip with a fan shaped flap based on facial artery. Br J Plast Surg. 1984;37:52-4.

Rea JL, Davis WE, Rittenhouse LK. Reinnervation of an Abbe-Estlander and a Gilles fan flap of the lower lip, electromyographic comparison. Arch Otolaryngol. 1978;104:294-5.