علاج سرطان الخلايا الحرشفية في الشفة السفلية عندما يشمل العيب أكثر من ثلثي طول الشفة

References

DOI: 10.1016/j.maxilo.2015.03.006

• The remaining patients had T2 lesions ≥2 cm, up to 2/3 of lip involvement (50 patients), T3 lesions ≥ 4 cm, more than 2/3 of lip involvement (18), and a T4 lesion ≥5.5 cm with commissure involvement (1).
• The Bernard–Freeman–Fries technique is performed under general anesthesia with nasotracheal intubation.
• It was imperative that each lesion be radically excised, leaving an adequate safety margin on all sides (always 6–10 mm if margins were not examined by a pathologist working in the operating theater, and 3 mm otherwise).
• When a defect involved 60–100% of the lower lip, a Bernard–Freeman–Fries flap was the favored solution and was constructed for 5.7% of patients.
• If over 2/3 of the lower lip is lost (over 60%), a combination of a Sabattini–Abbé flap and a bilateral staircase flap should be considered.
• The prognosis improves if the margins are healthy and the resection radical.
• In our present study, we report no disease recurrences.