Issue N# 3 - 2005
HEAD AND NECK SURGERY
Reconstruction after tumourís excision in lipís cancer: Report of 100 cases
Authors : M. Ezzoubi, A. Benbrahim, J. Fassi Fihri, N. Bahechar, El Hassan Boukind (Casablanca)
Ref. : Rev Laryngol Otol Rhinol. 2005;126,3:141-146.
Article published in french
Downloadable PDF document french
Objective: Cancer of the lips is a frequent pathology, it represents 1/5 of cancers of the upper aerodigestive tract. Its objectives are to present the experience of the plastic and reconstructive surgery unit of the universitary hospital of Casablanca. Material and method: The authors present a retrospective study about 100 cases of lips cancer treated between january 1999 and december 2002. Results: The average age is 59 years. The sex-ratio is 7.3. Eighty-five percent of our patients were smokers and 22% were alcoholics, the association alcoholic and smoker was found in 20%. In our study 71% were classified T1-T2 and 29% as T3-T4. The tumoral location was the lower lip in 82% and the upper lip in 10%. The histological study showed a squamous cell carcinoma type in 85% and a basal-cell carcinoma type in 14% of cases. After the tumourís excision, the reparation was done by cross-lip flap in 25%, the naso-lateral flap in 16% and the Gillies flap in 8%. The functional result was good in 92% of cases and the aesthetic result was excellent in 60% of cases and good in 30% of cases. The survival rate at 2 year was 90%. Conclusion: Actually, lipís cancer treatment is essentially surgical. The reconstructive techniques are various, depending on the size and location of the loss of substance.
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