Treatment of Lower Lip Cancer in early and advanced cases at Phichit Hospital

Abstract

Objectives : To report the treatment of lip cancer patients inPhichitHospital and to present a surgical technique for the reconstruction of lower lip by Webster flap technique in patient with  advanced lower lip cancer.

Method : A retrospective descriptive study of lower lip cancer patients was conducted atPhichitHospital between October 2002 and September2006. A case report of 66 years old Thai female underwent lip reconstruction by Webster flap technique.

Results : The total number of patients with lip cancer was 41 (40 females and 1 male). There were 40 lower lip cancer and 1 upper lip cancer. Tumor classified as T1 and T2 (7 cases), requiring a resection up to 2/3 of lower lip, were treated with Wedge excision (primary closure) technique. The cases classified as T4 (2 cases), in which the lesion required resection of more than 2/3 of lower lip, were treated with Webster flap technique. The surgical outcomes for all patients at 12 months were excellent to good result.

Conclusions : Lower lip cancer has been treated with different techniques depending on the size and location of the defect.

Keywords : Lower lip cancer, Lip reconstruction, Webster flap technique.