Reconstruction of Facial Defect Using Local Advancement Flap: A Functional and Esthetic Approach

Case 1A 58-year-old male patient presented to the outpatient department (OPD) with a complaint of an ulcerated lesion present over the lower lip for the past 3 months.The histopathological diagnosis of the ulceroproliferative lesion was squamous cell carcinoma (SCC) of the lower lip.In contrast-enhanced computed tomography (CECT), there was no bone involvement.In treatment planning, wide local excision of the lesion and reconstruction with a more conservative flap rather than locoregional or free flaps was decided.To restore the functions, esthetics, and donor-site morbidity, a bilateral myocutaneous advancement local flap was considered.Local flaps reduced the intraoperative time and postoperative hospital stay significantly.The patient was discharged on the third postoperative day with no active complaints.The patient was kept under observation for 2 years (Fig. 1). case descrIptIonsIn this case series, we discuss three patients with mild-to-moderate defects who were managed with local advancement flaps.