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2022, Number 3

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Rev Cubana Estomatol 2022; 59 (3)

Castañón Cheiloplasty: a viable and effective technique in the partial reconstruction lower lip

Adán SL

Language: Spanish
References: 15
Page:
PDF size: 575.63 Kb.


ABSTRACT

Introduction: For the treatment of labial squamous cell carcinoma there are several therapeutic modalities, but surgery is the first choice. Numerous techniques have been described for the management of lesions affecting more than a third of the lower lip. However, the selection of any particular one depends on the fulfillment of the reconstructive principles of this unit.
Objective: Exemplify the benefits of using Castañón cheiloplasty for partial lip reconstruction in a patient with squamous cell carcinoma of the lower lip.
Case presentation: A 68-year-old male patient with a history of smoking and alcoholism was presented, who went to the Head and Neck Oncological Surgery consultation for presenting a lesion located in vermilion of the lower lip. An incisional biopsy reported moderately differentiated squamous cell carcinoma. It was studied as a T2N0M0, stage II and was treated surgically by subtotal cheilectomy and reconstruction with Castañón technique.
Conclusions: The clinical case of a patient with squamous cell carcinoma of the lower lip, a pathological entity of high incidence, was presented. Surgery was the only treatment modality used. Once the surgical resection of the lesion was performed, the defect was reconstructed, for which the cheiloplasty described by Castañón was used, a useful option to achieve compliance with the aesthetic and functional principles.


REFERENCES

  1. Demirdover C, Vayvada H, Ozturk FA, Yazgan HS, Karaca C. A New Modification Of Fan Flap For Large Lower Lip Defects. Scand J Surg; 2019 JUN [acceso 12/12/2019];108(2):172-7. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/30178718 1.

  2. Rocha BA, Lima LMC, Paranaíba LMR, Martinez ADS, Pires MBO, de Freitas EM, et al2. . Intraoral stents in preventing adverse radiotherapeutic effects in lip cancer patients. Rep Pract Oncol Radiother; 2017 NOV-DEC [acceso 10/12/2019];22(6):450-4. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5581865/ 2.

  3. Kanodia A, Sakthivel P, Singh CA, Rao NN, Nayak N, Sharma SC. Lower Lip Carcinoma Reconstruction using Abbe Estlander Flap: Tips and Tricks. Ann Surg Perioper Care; 2018 [acceso 12/12/2019];3(1):1-3. Disponible en: Disponible en: http://austinpublishinggroup.com/annals-surgery/download.php?file=fulltext/aspc-v3-id1039.pdf 3.

  4. Salgarelli AC, Setti G, Bellini P, Magnoni C, Robiony M, Consolo U. Guidance flap choice for lip cancer: Principles, timing and esthetic-functional results. Rev Esp Cir Oral Maxilofac; 2016 [acceso 12/12/2019];38(1):1-10. Disponible en: Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1130055815000398 4.

  5. Singh AK, Kar IB, Mishra N, Raut S. Karapandzic Flap in Reconstruction of Post-traumatic Lower Lip Defects: Report of Two Cases. J Maxillofac Oral Surg; 2015 SEP [acceso 12/12/2019];14(3):858-61. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4511905/ 5.

  6. Siqueira EJ, Alvarez GS, Laitano FF, Martins PDE, de Oliveira MP. Lower lip reconstruction strategies. Rev Bras Cir Plást; 2012 [acceso 12/12/2019];27(4):536-41. Disponible en: Disponible en: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-51752012000400011 6.

  7. Castañón Roche L. Queiloplastia en cáncer de labio. Rev Cubana Cir. 1978;17:259-69.

  8. Castañón Roche L, Delys Fernández RE, Rodríguez Jiménez R. Reconstrucción Labial. Medicentro; 2009 [acceso 12/12/2019];13(3):1-2. Disponible en: Disponible en: http://www.medicentro.sld.cu/index.php/medicentro/article/view/290/381 8.

  9. Canto Vidal B, Canto Vigil T, González Sánchez D, Soto Ugalde A. Cirugía reparadora del párpado inferior en pacientes afectados por carcinomas basocelulares. Medisur; 2016 diciembre [acceso 12/12/2019];14(6): 805-9. Disponible en: Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-897X2016000600020 9.

  10. Brierley JD, Gospodarowicz MK, Wittekind C. TNM classification of malignant tumours. 8th10. edition. Oxford: Wiley Blackwell; 2017.

  11. Sanches Faveret PL. Reconstrução labial após ressecção de tumores. Rev Bras Cir Plást; 2015 [acceso 12/12/2019];30(2):206-18. Disponible en: Disponible en: http://www.rbcp.org.br/details/1623/pt-BR/reconstrucao-labial-apos-resseccao-de-tumores 11.

  12. Kim JH, Ahn CH, Kim S, Lee WS, Oh SA. Effective method for reconstruction of remaining lower lip vermilion defect after a mental V-Y advancement flap. Arch Craniofac Surg; 2019 ABR [acceso 25/02/2020];20(2):76-83. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/31048643 12.

  13. Aggarwal B, Kumar H, Sharma P, Kaushik MS. Gillies fan flap repair for near total, full thickness defect of lower lip. Int Surg J; 2018 NOV [acceso 25/02/2020];5(11):3781-4. Disponible en: Disponible en: https://www.ijsurgery.com/index.php/isj/article/view/3436/2415 13.

  14. Mahmoud WH. Surgical Outcome of Lower Lip Reconstruction Using the Webster Flap. Merit Res J Med Med Sci; 2016 AGO [acceso 25/02/2020];4(8):399-405. Disponible en: Disponible en: https://www.researchgate.net/profile/Wael_Hussein_Mahmoud/publication/307558036_Surgical_Outcome_of_Lower_Lip_Reconstruction_Using_the_Webster_Flap/links/57c83f1408aefc4af34ebb9b/Surgical-Outcome-of-Lower-Lip-Reconstruction-Using-the-Webster-Flap.pdf 14.

  15. Gupta S, Chattopadhyay D, Murmu MD, Gupta S, Singh HS. A new technique for one-stage total lower lip reconstruction: Achieving the perfect balance. Can J Plast Surg; 2013 [acceso 25/02/2020];21(1):57-61. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3891103/pdf/cjps21057.pdf 15.




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