Ann Plast Reconstr Surg | Volume 5, Issue 3 | Case Report | Open Access

Sliding and Splitting Quadrangular Flap for Reconstruction of Combined Upper Lip and Premaxillary Defect

Carboni A1, Agrillo A1, Amodeo G1, Cipriani O1, Cerbelli E2* and Scopelliti D1

1Department of Maxillofacial Surgery, San Filippo Neri Hospital, Italy
2Maxillofacial Surgery Unit, Sapienza University of Rome, Italy

*Correspondance to: Edoardo Cerbelli 

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Head and Neck Squamous Cell Carcinoma (HNSCC) is the sixth worldwide most common type of cancer, with about 200,000 newly diagnosed cases and approximately 128,000 deaths per year. Current treatment strategies for HNSCC include surgery, radiotherapy, chemotherapy, immunotherapy or combinatorial treatments. However, the overall 5-year survival rate of HNSCC
patients is still about 50%.
We present a squamous cell carcinoma of the upper lip and premaxilla, treated with local excision and reconstruction with a sliding and splitting quadrangular flap to rebuild the deficit of the upper  lip, palate and premaxilla simultaneously.
In a single step, we performed a reconstructive phase consists in two full thickness genial quadrangular flaps, close to the limits of the lateral removal.
Myo-mucous portion is rotated and sutured with 3/0 Vicryl to the counter-lateral flap to rebuild the palatal wall. Oral competence and the aesthetic-functional result was good at distance.
We consider this technique an excellent solution in patients with comorbidities affected by malignant neoplasms involving the premaxilla and lip nose region.


Carboni A, Agrillo A, Amodeo G, Cipriani O, Cerbelli E, Scopelliti D. Sliding and Splitting Quadrangular Flap for Reconstruction of Combined Upper Lip and Premaxillary Defect. Ann Plast Reconstr Surg. 2021;5(3):1082..

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