Complete treatment of a recurrent squamous cell carcinoma of the lip and the
commissure. A case report
Panagiotis-Irineos TSIROGIANNIS, Nadia THEOLOGIE-LYGIDAKIS, Stavros PELEKANOS, Evaggelos MARAGOUDAKIS, Panagiotis PAPADOPOULOS, Iοannis IATROU
Oral & Maxillofacial Surgery Clinic. Dental School, University of Athens, Greece (Head: Professor C. Αlexandridis)
Hellenic Archives of Oral & Maxillofacial Surgery (2011) 2, 121-127
SUMMARY: Carcinomas of the lip and the commisure show a milder biological behavior as well as higher differentiation and better prognosis in comparison with these of the oral cavity. Therapeutic management, as for malignant tumors, includes radical resection together with functional and aesthetic rehabilitation. Aim of the paper is to present the multidisciplinary treatment of a case of a lip commissure carcinoma. Case presentation: Α 68 years old patient with a recurrent squamous carcinoma of the lower lip and the commissure was referred for treatment. The treatment plan included an extensive surgical excision of the lesion, suprahomohyoid neck dissection, reconstruction of the defect with local flaps, additional radiotherapy and dental rehabilitation with implants in a later stage. Seven years post- operation the patient is free of disease. The functional and aesthetic results are satisfying, considering the large soft tissue defect.
KEY WORDS: Squamous cell carcinoma, radiotherapy, osseointegrated implants, hybrid denture.
REFERENCES
Αγγελόπουλος Α, Παπανικολάου Σ, Αγγελοπούλου Ε: Όγκοι καλυπτικού επιθηλίου. Σε: Αγγελόπουλος Α, Παπανικολάου Σ, Αγγελοπούλου Ε: Σύγχρονη Στοματική και Γναθοπροσωπική Παθολογία. Εκδόσεις Λίτσας, Αθήνα 2000, σελ. 259-266
Armellini D, von Fraunhofer JA: The shortened dental arch: A review of the literature. J Prosthet Dent 92(6): 531-535, 2004
Batista AC, Costa NL, Oton-Leite AF, Mendonça EF, Alencar Rde C, Silva TA: Distinctive clinical and microscopic features of squamous cell carcinoma of oral cavity and lip. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 109(3): e74-9, 2010
Cinar C, Ogur S, Arslan H, Kilic A: Adding versatility to the reconstruction of intraoral lining: opened pocket method. J Craniofac Surg 18(1): 198-202, 2007 Clossmann JJ, Pogrel MA, Schmidt BL: Reconstruction of perioral defects following resection for oral squamous cell carcinoma. J Oral Maxillofac Surg 64(3): 367-74, 2006
Huang D, Johnson C, Schmidt R, Sismanis A, Neifeld J, Weber J: Incompletely ressected advanced squamous cell carcinoma of the head and neck: The effectiveness of adjuvant vs. salvage radiotherapy. Radioth Oncol 24: 87-93, 1992
Karapandzic M.: Reconstruction of lip defects by local arterial flaps. Br J Plast Surg 27(1): 93-7, 1974
Καρκαζής Η: Προσθετική αποκατάσταση ολικής νωδότητας, σε: Αλεξανδρίδης Κ: Εισαγωγή στην εμφυτευματολογία. Εκδόσεις Λίτσας, Αθήνα 2009, σελ. 107-120
Käyser ΑF: The shortened dental arch concept and its implications for oral health care. Comm Dent Oral Epidemiol 27(4): 249–258, 1999
Lasaridis D, Dalabiras S, Karakassis D: Modification of the Conley incision for neck dissection. J Oral Maxillofac Surg 52(10): 1046-9, 1994
Μάρτης Χρ. Μάρτη Κ.Χρ: Το καρκίνωμα του βλεννογόνου της συγχειλίας και της παρειάς. Μία νέα εγχειρητική τεχνική.
A new surgical technique for excision of buccal mucosa carcinoma. Hel - lenic Archives Oral Maxillofac Surg 4(4): 281-285, 2003
Morocchio L, Lima J, Sperandio F, Correa L, de Souza S: Oral squamous cell carcinoma: an analysis of 1564 cases showing advances in early detection. J Oral Science 52(2): 267-273, 2010
Ntomouchtsis A, Kechagias N, Kitikidou K, Bourlidou E, Kontos K, Tsompanidou C. et al: Squamous cell carcinoma of the lip commissure. A 10-year retrospective study (1995-2004).Hellenic Archives of Oral and Maxillofac Surg 1: 15-25, 2011
Renner GJ: Reconstruction of the lip, In: Baker SR, Swanson NA: Local Flaps in Facial Reconstruction. Ed. Mosby Elsevier 2007, pp. 475-524
Salgarelli AC, Sartrelli F, Cantiano A, Pagani R, Collini M: Surgical treatment of lip cancer: our experience with 106 cases. J Oral Maxillofac Surg 67(4): 840-5, 2009
Shah P, Carew J, Singh B: Clinical evaluation and differential diagnosis, In: Shah P, Johnson N, Batsakis J, Dunitz M: Oral Cancer. Martin Dunitz 2003, pp. 185-199 and pp. 345
Terziqi H, Tarpila E: Reconstruction of large defect of lower lip and commissure using Karapandzic flap: case report. Niger J Med 18(2): 222-3, 2009 Turkyilmaz I: Oral Rehabilitation of a Severely Resorbed Edentulous Maxilla with Screwed-retained Hybrid Denture Using Cresco System: A Case Report. Eur J Dent 2(3): 220-3, 2008
Valentini V, Saltarel A, Cassoni A, Battisti A, Egidi S: One-stage reconstruction of a defect of the oral commissure and of the cheek with a radial forearm free flap. J Craniofac Surg 19(6): 1508-11, 2008
de Visscher Jan, Botke G, Schakenraad J, Van der Waal I: A comparison of results after radiotherapy and surgery for stage I squamous cell carcinoma of the lower lip. Head & Neck 21: 526-530, 1999
University of Florida. Center for Implant Dentistry: Mandibular hybrid restoration –clinical steps- immediate load. Clinical guide 2010, pp. 1-5
Unsal Tuna EE, Oksüzler O, Ozbek C, Ozdem C: Functional and aesthetic results obtained by modified Bernard reconstruction technique after tumor excision in lower lip cancers. J Plast Reconstr Aesthet Surg 63(6): 981-7, 2010
Yamauchi M, Yotsuyanagi T, Yokoi K, Urishidate S, Yamashita K, Higuma Y: One-stage reconstruction of a large defect of the lower lip and oral commissure. Br J Plat Surg 58(5): 614-8, 2005
Yamauchi M, Yotsuyanagi T, Ezoe K, Saito T, Yokoi K, Urishidate S: Estlander flap combined with an extended upper lip flap technique for large defects of lower lip with oral commisure. J Plast Reconstr Aesthet Surg 62(8): 997-1003, 2009
Yildirim S, Gideroğlu K, Aydogdu E, Avci G, Akan M, Aköz T: Composite anterolateral thigh-fascia lata flap: a good alternative to radial forearm-palmaris longus flap for total lower lip reconstruction. Plast Reconstruct Surg 117(6): 2033-41, 2006
Zide MF, Dean JS: Cutaneous lip lesions and reconstruction, In: Booth PW, Schendel SA, Hausamen J: Maxillofacial Surgery. Churchill Livingstone Elsevier 2007, pp. 745-768
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