eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Reconstructive Surgery
Lip Reconstruction: Workup
Updated: Mar 10, 2008
Workup
Laboratory Studies
The laboratory tests that are required for lip reconstruction are those that would be necessary in any type of surgical intervention. Evaluation of coagulation profile, blood counts, blood chemistry, electrocardiography, chest radiography, and other specialized cardiac and pulmonary tests are indicated as appropriate for the age and medical conditions of each patient.
Imaging Studies
- Most cases of primary lip reconstruction do not require special imaging. If any possibility exists that the underlying mandible is involved with a lower lip neoplasm, CT scanning with bony windows is indicated.
- Consider MRI in those patients who present with preoperative hypoesthesia of the upper or lower lip. In this case, suspicion of infraorbital or submental nerve infiltration may be warranted. Extent of infiltration can certainly have an impact on the choice of extirpative technique.
Diagnostic Procedures
Diagnostic confirmation of cancer is often prudent prior to any extensive resection. Various biopsy techniques are available.
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Workup: Lip Reconstruction |
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References
Karapandzic M. Reconstruction of lip defects by local arterial flaps. Br J Plast Surg. Jan 1974;27(1):93-7. [Medline].
Hwang K, Kim DJ, Hwang SH. Musculature of the pars marginalis of the upper orbicularis oris muscle. J Craniofac Surg. Jan 2007;18(1):151-4. [Medline].
Gillies HD, Millard DR. The Principles and Art of Plastic Surgery. Boston, Mass: Little, Brown; 1957.
Baker SR, Krause CJ. Pedicle flaps in reconstruction of the lip. Facial Plast Surg. 1984;1(1):61-8. [Medline].
Burow CA. Verlorengeaganener Teile des Gesichts. In: Berscheisung einer neuen transplantations methode zum wedersatz. Nauck: Berlin; 1855.
Converse JM, Wood-Smith D. Techniques for the repair of defects of the lips and cheeks. In: Converse JM, ed. Reconstructive Plastic Surgery: Principles and Procedures in Correction, Reconstruction and Transplantation. 2nd ed. Philadelphia, Pa: WB Saunders; 1977.
Jeng SF, Kuo YR, Wei FC, Su CY, Chien CY. Total lower lip reconstruction with a composite radial forearm-palmaris longus tendon flap: a clinical series. Plast Reconstr Surg. Jan 2004;113(1):19-23. [Medline].
Larrabee WF, Sherris DA. Principles of Facial Reconstruction. Philadelphia, Pa: Lippincott-Raven; 1995.
Luce EA. Carcinoma of the lower lip. Surg Clin North Am. Feb 1986;66(1):3-11. [Medline].
Shohet MR, Khosh MM. Lip Reconstruction. In: Buchen DR. Skin Flaps in Facial Reconstruction. 1. New York: Mcgraw-Hill Companies, Inc; 2007:127-147.
Zide B. Deformities of the lips and cheeks. In: McCarthy JG. Plastic Surgery. Vol 3. Philadelphia, Pa: WB Saunders; 1990.
Keywords
lip reconstruction, cheiloplasty, lip surgery, lip plastic surgery, lip carcinoma, lip cancer, lip defect, traumatic lip defect, neoplastic lip defect, fan flap, Karapandzic flap, Gillies fan flap
Workup: Lip Reconstruction