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 removal of squamous cell carcinoma of the lower lip and may leave a large defect in the vermilion and underlying tissue. When nearly the entire lower lip is excised, reconstruction of this defect is a challenge. Repair requires the matching of vermilion color, maintenance of oral sphincter function and mouth opening size, and retention of sensation. Several techniques have been 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 lower lip defects after excision of squamous cell carcinoma. METHODS. Innervated muscle-bearing flaps are used and demonstrated in one case. The surgical technique is discussed in detail. RESULTS. The reconstructive results were excellent. There were no postoperative complications. CONCLUSION. The use of innervated muscle-bearing flaps is a useful and effective option for the reconstruction of total lower lip defects.