PMC6488680_01
Clinical appearance initially.
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By clinical examination, a 15 x 15 mm sore, firm, central ulcerating tumour was seen located at the vermillion border (Fig. 1).
Clinical appearance of recurrent squamous cell carcinoma at time of readmission after primary radiotherapy.
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At this point, the patient presented a monstrous, ulcerating tumour, involving most of the lower lip (Fig. 2).
Flap design.
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First, a total excision of the lower lip including the commisures during which free resection borders of 1 cm were confirmed by intraoperative frozen section diagnosis. 8 days after primary excision, histopathology confirmed free resection borders, and reconstruction of the lower lip by bilateral Fujimori technique was performed (Fig. 3, Fig. 4, Fig. 5).
Immediate postoperative appearance.
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First, a total excision of the lower lip including the commisures during which free resection borders of 1 cm were confirmed by intraoperative frozen section diagnosis. 8 days after primary excision, histopathology confirmed free resection borders, and reconstruction of the lower lip by bilateral Fujimori technique was performed (Fig. 3, Fig. 4, Fig. 5).
Clinical appearance 4 months after surgery. No microstomia or dog ears are seen.
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Clinical presentation 5 months after surgery is seen in Fig. 6.