The staircase technique for treatment of cancer of the lower lip: a report of 36 cases.

PURPOSE This article reports the authors' experience with treatment of lower lip cancer using the staircase technique. PATIENTS AND METHODS Thirty-six patients with stage T1 or T2 cancers of the lower lip were treated. RESULTS No recurrences were observed during a 6- to 32-month follow-up. All patients showed excellent aesthetic results and no microstomia. CONCLUSIONS The staircase technique can be used to close defects of up to two thirds of the lower lip. Two bilateral symmetric flaps are used for median defects; 2 bilateral asymmetric flaps are used for paramedian defects greater than 20 mm; and only 1 contralateral flap is required for paramedian defects up to 20 mm.

[1]  J. Kuttenberger,et al.  Results of a modified staircase technique for reconstruction of the lower lip. , 1997, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[2]  K. Calhoun,et al.  Surgery of the lip , 1994 .

[3]  J. H. Shaw,et al.  Carcinoma of the lip in Auckland, New Zealand, 1969‐1987 , 1989, Head & neck.

[4]  C. Cruse,et al.  Squamous cell carcinoma of the lip. , 1987, Plastic and reconstructive surgery.

[5]  E. Luce.  Carcinoma of the lower lip. , 1986, The Surgical clinics of North America.

[6]  J. Angelats,et al.  Upper and Lower Lip Reconstruction Using the Step Technique , 1985, Annals of plastic surgery.

[7]  J. Shah,et al.  Carcinoma of the lip. , 1979, American journal of surgery.

[8]  J. Waterhouse.  Cancer handbook of epidemiology and prognosis , 1974 .

[9]  U. Breine,et al.  Surgical treatment of non-traumatic lower lip lesions with special reference to the step technique. A follow-up on 149 patients. , 1974, Scandinavian journal of plastic and reconstructive surgery.

[10]  A. Andersen,et al.  Carcinoma of the lip. A series of 869 patients. , 1973, Acta oto-laryngologica.

[11]  R. Abbe.  A new plastic operation for the relief of deformity due to double harelip. , 1968, Plastic and reconstructive surgery.

[12]  A. L. Bloomfield.  The Principles and Art of Plastic Surgery , 1957 .