FPRS lip reconstruction

Question 1

What are the treatment options for lower-lip

actinic cheilitis?

Answer 1

Small areas may be treated with cryosurgery, whereas more extensive lesions may require vermilionectomy or CO2 laser ablation.

Question 2

What are some reconstructive options for a full-thickness defect involving less than 30% of the length of the lip?

Answer 2

Wedge or W-excision with primary closure

Question 3

What are some reconstructive options for a full-thickness defect involving 50 to 75% of the length of the lip?

Answer 3

● Abbe flap
● Estlander flap
● Gillies fan flap
● Karapandzic flap

Question 4

What are some reconstructive options for a full-thickness defect involving more than 75% of the length of the lower lip?

Answer 4

● Bilateral nasolabial flaps
● Karapandzic flap
● Bernard-Burrow flap
● Fujimori Gate flap
● Microvascular reconstruction with radial forearm fascio-
cutaneous flap

Question 5

Describe the similarities and differences between

an Abbe flap and an Estlander flap.

Answer 5

Both flaps involve transfer of a pedicled full-thickness flap
between the upper and lower lip, both are used for defects
involving 50 to 75% of the lip length, and both are based on
a labial artery pedicle. The Estlander flap is used for defects
of the oral commissure and lateral lip, whereas the Abbe
flap is used for central defects.

Question 6

Off what artery is the Gillies fan flap based?

Answer 6

Superior labial artery