Karapandzic Flap Technique
Year: 2024
Type: article
Abstract: The reconstruction of lip defects poses a surgical challenge, especially when malignancies affecting the oral commissure require extensive excisions leading to considerable tissue loss. Optimal reconstruction methods must restore functionality, maintain aesthetics, and harmonize with adjacent tissues. The Karapandzic flap, introduced in 1974, provides a neurovascular myocutaneous technique that safeguards essential structures while preserving lip mobility and sensation. This report emphasizes the reconstruction of a substantial lip defect subsequent to the excision of basal cell carcinoma utilizing the Karapandzic flap. The technique offers benefits such as a single-stage procedure, maintenance of vascular and nerve networks, and enhancement of oral function with increased lip mobility. Notwithstanding possible drawbacks like temporary microstomia and asymmetry of the oral commissure, the Karapandzic flap provides enhanced functional and aesthetic results relative to alternative techniques. This method proficiently targets the intricate musculature at the oral commissure, delivering a substantial functional reconstruction while circumventing the rigidity and diminished sensation linked to alternative techniques. The Karapandzic flap is a dependable and effective method for reconstructing substantial lip defects, including those affecting the oral commissure. Although early postoperative microstomia may arise, it generally ameliorates with time, rendering this technique a commendable option for attaining optimal functional and aesthetic outcomes in lip reconstruction.
Authors: Instituto Tecnológico y de Estudios Superiores de Monterrey ITESM Campus Ciudad de México, José Emiliano González Flores, Dra. Beverly García Vontra, Universidad Anáhuac México, María del Rayo Méndez Palacios, Universidad Popular Autónoma del Estado de Puebla, Williams Antonio Barrios Garcia, Instituto Superior de Ciências da Saúde Carlos Chagas, Rio de Janeiro, Brasil, Alberto Jaramillo Sastré, Facultad de Medicina UNAM, Gonzalo Santos González, Dr. Moises Alvir Ruiz López, Universidad autónoma Benito Juárez de Oaxaca, Dra. María Fernanda Ramírez Berumen, Andrea Florián Espinosa Jiménez, Escuela Superior de Medicina, Instituto Politécnico Nacional, Dr. Uziel Aldahir Arrazola Pereda, Universidad autónoma Benito Juárez de Oaxaca, Dra. Wendy Melisa Gómez Aragón, Universidad autónoma Benito Juárez de Oaxaca, Dr. Luis Donaldo García Romero, Dra. Daniella Andrea Ponce de León Camargo, Universidad Anahuac de Querétaro
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4405941959