Management
In a study involving 23 patients treated between 2014 and 2018, all flaps survived following the application of the Bilobed Platysma Myocutaneous Flap technique [PMID:39265261].
A case report [PMID:20071822] illustrates the necessity of involving ENT specialists for reconstruction when traditional vermilion reconstruction is not feasible due to extensive scarring and tissue loss.
Complications
Among the patients treated with the described technique, there were no cases of recurrence during the 5-year follow-up period [PMID:39265261].
The patient described in [PMID:20071822] exhibited severe scarring and atrophy of the tongue, limiting reconstructive options and highlighting potential complications from recurrent disease and previous treatments.
Prognosis & Follow-up
The study reported successful outcomes with no observed recurrences in 23 patients over a 5-year follow-up, indicating favorable prognosis [PMID:39265261].
The necessity for continuous multidisciplinary care, as seen in the follow-up of the patient detailed in [PMID:20071822], underscores the importance of comprehensive follow-up strategies for such cases.
References
1 Akdemir O, Eyuboglu AA, Lineaweaver W, Zhang F. Clinical outcomes of bilobed platysma myocutaneous flap technique with neck dissection in lower lip squamous cell carcinoma. Surgical oncology 2024. link 2 Maharjan S, Bista M, Toran KC, Joshi KD. Surgery for recurrent lower lip carcinoma. Kathmandu University medical journal (KUMJ) 2008. link
2 papers cited of 3 indexed.