Gillies fan flap repair for near total, full thickness defect of lower lip

Beena Aggarwal; Hitesh Kumar; Prashant Sharma; Manish Kaushik; Saurabh .

doi:10.18203/2349-2902.isj20184666

Authors

Beena Aggarwal Department of General Surgery, Guru Gobind Singh Government hospital, New Delhi, India
Hitesh Kumar Department of General Surgery, Guru Gobind Singh Government hospital, New Delhi, India
Prashant Sharma Department of General Surgery, Guru Gobind Singh Government hospital, New Delhi, India
Manish Kaushik Department of General Surgery, Guru Gobind Singh Government hospital, New Delhi, India
Saurabh . Department of General Surgery, Guru Gobind Singh Government hospital, New Delhi, India

DOI:

https://doi.org/10.18203/2349-2902.isj20184666

Keywords:

Gillies fan flap, squamous cell carcinoma lip, Supra-omohyoid neck dissection

Abstract

Lip is one of the commonest sites of occurrence of squamous cell carcinoma in head and neck region. 90 % of the cases involve lower lip. Higher cumulative exposure of ultraviolet radiations by sun is an attributed risk factor. A large defect left after surgical excision can be covered by various methods. Myo-neurovascular flap used in Gillies fan flap technique is considered better functionally and aesthetically. We report a 70-year-old gentleman who presented with large carcinomatous growth occupying more than 3/4th of lower lip, only leaving commisures free. Edge wedge biopsy revealed it to be squamous cell carcinoma. Excision of tumor was done along with bilateral supra-omohyoid neck dissection and Gillies fan flap repair. Modified Gillies fan flap repair is one of the various techniques which serves to reconstruct large lower lip defects maintaining the vascularity, nerve supply of lip and gives functional, sensate and aesthetic results

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