Lip Reconstruction Workup

Updated: Mar 14, 2016
  • Author: Michael R Shohet, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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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.

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Imaging Studies

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  • 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.
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Diagnostic Procedures

Diagnostic confirmation of cancer is often prudent prior to any extensive resection. Various biopsy techniques are available.

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