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Year : 2014  |  Volume : 5  |  Issue : 2  |  Page : 107-109

Karapandzic flap

Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Aurangabad, Maharashtra, India

Correspondence Address:
Abdul Ahad Gaffar Khan
Plot No. A 1, Gut No 13, Opposite Amber Gas Godown, Nasik Road, Padegaon, Aurangabad, Maharashtra 431 002
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0975-962X.135291

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For full-thickness lip defects, the choice of reconstructive option depends on the size of the defect. Defects of one-quarter to one-third of the upper lip can be closed primarily. Largerdefects measuring one-third to two-thirds of the lower lip width may be closed with the Karapandzic, Abbe or Estlander flaps. If the commissure is involved, both the Karapandzic and Estlander flaps may be used; however, the Karapandzic is probably the better choice because it is better at maintaining oral competence. In the case of larger lower lip defects (more than two-thirds of the lip), if there is sufficient adjacent cheek tissue, the surgeon may employ the Karapandzic (for defects up to three-fourths of the lower lip width) or the Bernard-Burow's techniques (to reconstruct the entire lower lip). A case of post-traumatic, lower lip defect, reconstructed with a bilateral karapandzic flap is presented here.

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