Lip commissure reconstruction after tumour resection with the use of the Platz-
Wepner technique Report of cases
Nikos KECHAGIAS, Eleni BOURLIDOU, Petros ZIKOS, Margarita VAFIADOU, Doxa MAGOUDI, *Nikos LAZARIDES
Department of Oral & Maxillofacial Surgery, Theagenio Anticancer Hospital, Thesaloniki, Greece. *Oral and Maxillofacial Surgery Clinic, Dental School, Aristotle University of Thessaloniki, G. Papanikolaou General Hospital, Thessaloniki, Greece.
Hellenic Archives of Oral & Maxillofacial Surgery (2013) 1, 15-24
SUMMARY: The lip commissure is a rare site for the development of malignant tumour lesions. Material and Methods. This paper presents the resection of tumours in patients with commissure cancer and their rehabilitation using the Platz-Wepner technique. This technique has been used at our department in 4 cases. According to this method, tumour resection involves a circular incision in full thickness of the commissure tissues, expanding into the cheek region, with a wedge resection of the tissues in partial thickness. The deficit is reconstructed using promotional rotational flaps from the neighbouring region of the commissurecheek. Results. All patients underwent complete tumour resection, followed by aesthetic and functional reconstruction of their commissures, both immediately postoperatively and in the follow up period. Conclusions. What defines a satisfactory result in this method are the function, symmetry, aesthetics and sufficient width of the mouth opening. However, the small number of cases presented here limits our ability to draw firm conclusions.
KEY WORDS: Lip commissure lesions, lip reconstruction, Platz-Wepner technique, limited number of cases.
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