Background: Large defects of the lower lip represent a challenge to the reconstructive surgeon. The reconstructed lip should be sensate, retain muscle function, allow sufficient mouth opening for dentures, and have an acceptable aesthetic appearance. Many surgical techniques for lower lip reconstruction have been reported. We describe a modification of von Bruns' technique for reconstruction of the lower lip and both commissures.
Objective: To present a surgical technique for reconstruction of the lower lip and both commissures, which we applied in a patient with a huge squamous cell carcinoma of the total lower lip and part of the upper lip.
Methods: Two upper nasolabial flaps, one above the other, were used. The surgical technique is discussed.
Conclusion: The technique is simple and is one stage. It provides complete support to the reconstructed lower lip and commissures.