Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Case Report Volume 7 Issue 6

Karapadnzic Flap

Jimmy Edmundo Guillén Aguilar*, Odrin Esfelino Ramírez Orozco and Alfredo Raul Longo Calderón

Residential Complex, Edificio Mariscal Uno-Uno, Guatemala

*Corresponding Author: Jimmy Edmundo Guillen Aguilar, Residential Complex, Edificio Mariscal Uno-Uno, Guatemala.

Received: January 18, 2023; Published: May 25, 2023


The Epidermoid arcinoma is the most frequent among malignant tumors of the lips, usually diagnosed in early stages, (1) a tumor that develops from the keratinocytes of the stratum spinosum of the epidermis, which is characterized by being aggressive, invasive, being the location of most frequent appearance the lower lip. The flap described by Karapandzic is suitable for the repair of defects of more than 60% of the lower lip surface. In addition, it serves for the restoration of the upper lip or comisura. It can be uni or bilateral, whose advantages are, the preservation of mobility and lip sensitivity, as well as labial competence and complete reconstruction in a single procedure since it respects the orbicularis muscle.

Clinical Case: The case of a 77-year-old female patient who attended the outpatient oncological surgery service of the Roosevelt Hospital, with a history of a lower lip mass of 1 year of evolution, is presented; On physical examination positive data, evidence mass of approximately 2.5 cm x 3.5 cm, located at the level of right lip commissure, incisional biopsy is performed and moderately differentiated squamous cell carcinoma is identified, it is scheduled to the operating room where complete carcinoma resection is performed plus radical neck dissection (lymphonodal levels I, II, III, IV), moreapproximation of flaps with Karapadnzic technique, patient with adequate evolution.

Keywords: Karapandzic Flap; Squamous Cell Carcinoma


  1. Diaz de Cerio-Canduela P and Omedes-Sancho S. “Removal of lower lip carcinoma and reconstruction by Karapandzic flap. Description of a case”. 10.1 (2019): 79.
  2. Matos da Fonseca A and Gómez García F. “Lip reconstruction with Karapandzic Technique”. Cirugía Plástica Ibero-Latinoamericana1 (2007).
  3. Andrades P., et al. “Essential Plastic Surgery”. First edition. Volume I. Santiago Chile, (2005): 66-70.


Citation: Jimmy Edmundo Guillén Aguilar., et al. “Karapadnzic Flap”.Acta Scientific Medical Sciences 7.6 (2023): 114-117.


Copyright: © 2023 Jimmy Edmundo Guillén Aguilar., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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