Total lower lip reconstruction with innervated muscle-bearing flaps: A modification of the Webster flap

BACKGROUND Mohs surgery and other surgical techniques are used for the remo val of squamous cell carcinoma of the lower lip and may leave a large defec t in the vermilion and underlying tissue. When nearly the entire lower lip is excised, reconstruction of this defect is a challenge. Repair requires t he matching of vermilion color, maintenance of oral sphincter function and mouth opening size, and retention of sensation. Several techniques have bee n suggested. We present a modification of the Webster flap for total lower lip reconstruction using innervated muscle-bearing flaps. OBJECTIVE To present a surgical technique for the reconstruction of total l ower lip defects after excision of squamous cell carcinoma. METHODS Innervated muscle-bearing flaps are used and demonstrated in one ca se. The surgical technique is discussed in detail. RESULTS The reconstructive results were excellent. There were no postoperat ive complications. CONCLUSION The use of innervated muscle-bearing flaps is a useful and effec tive option for the reconstruction of total lower lip defects.