Free-Flap Reconstruction of Large Full-Thickness Lip and Chin Defects

Objectives: We describe our experience in the reconstruction of large 3-layer lip defects using free revascularized lower-arm and fibula flaps. Methods: Between 2005 and 2009, nine patients underwent free-flap reconstruction after oncological surgery involving the lip and chin with or without mandibular involvement. The flap techniques are described, and postoperative functional and aesthetic results were recorded. Results: There were no flap failures. All patients showed intact oral function and good aesthetic results. Two patients died of distant metastases, 8 months and 17 months after surgery. Conclusions: Three-layer defects of the lip ideally require free-flap reconstruction, which has a high probability of achieving good functional and aesthetic results.