Reconstruction Of Upper And Lower Lips And Mandible With Multiple Flaps Following Resection Of Extensive Squamous Cell Carcinoma

Abstract

The reconstruction of composite defects of the mandible and both lips following oncological resection is challenging from both functional and aesthetic perspectives. This is a case report of simultaneous and immediate reconstruction of combined upper and lower lips and mandible with multiple flaps following resection of extensive squamous cell carcinoma. The patient was reconstructed with free fibula osteocutaneous flap, pedicled scalp flap, tongue flap, palmaris longus tendon sling and pectoralis major myocutaneous flap. At 4 weeks, patient demonstrated good speech and swallowing with an acceptable aesthetic result.