Gillies fan flap for lower lip reconstruction – case report

© Borgis - New Medicine 1/2016, s. 8-11 | DOI: 10.5604/14270994.1197166

*Konrad Wroński¹, Zbigniew Masłowski², Leszek Frąckowiak³, Janusz Kaczor²

Summary
Lips have important aesthetic and functional roles in the human body. First lip reconstruction was performed in 25 AD by a Roman surgeon who made relaxing incisions in the cheek to close defect of the lower lip. Modern surgical technics of lip reconstruction were developed in the mid-1800s, and basics principles have not changed significantly since then.
Lower lip malignant neoplasms should be treated aggressively and effect reconstruction depend on few things. Proper planning, fine instruments, proper suture material and experience of surgeons team are the most important factors in reconstructive treatment. In the case of lip cancer, where the surgeon provides excision more than 2/3 of the lip, it can use several different techniques to reconstruct the lips. One of these techniques is Gillies fan flap.
In the following article the authors presented a case of a 74-year-old man, Caucasian race, who was admitted to the hospital because of diagnosed lower lip carcinoma. The patient underwent surgery – wild excision of carcinoma and Gillies fan flap reconstruction. The patient was satisfied with reconstruction lower lip and aesthetic and functional effect of treatment was assessed by surgeons and patient as fully satisfying.

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