KARAPANDZIC FLAP FOR RECONSTRUCTION OF LOWER LIP (Total and Subtotal defect)

Karapandzic flap is a modification of Gilles fan flap is used for the reconstruction of total and subtotal defectof lower lip. 12 cases of post oncological excision defect of lower lip are reconstructed with karapandzic flap. The operative technique for identification of neurovascular bundle is defined in this paper (namely motor buccal branch and sensory buccal branch, superior labial artery and its perforator, sometimes mental nerve branch.).Author has given dissection technique of identification of above mentioned structure also we addressed microstomia (usually results in this reconstruction) by fabricated cheek angled auricle retractors.