Lower Lip Reconstruction after Wide Excision of a Malignancy with Barrel-Shaped Excision or the Webster Modification of the Bernard Operation
A 49-year-old man had a small wound that developed on the lower lip five months before visiting our hospital. The small wound had not healed and even gradually enlarged, which eventually led to ulceration. The patient visited the outpatient clinic of the Department of Dermatology of our hospital, and was diagnosed with squamous cell carcinoma. His expected residual tissue after excision was more than 1/4 on both sides of the vermilion, and the defect had occurred on the middle of the lip. Therefore, we performed a double barrel-shaped excision. During the 1-year postoperative follow-up period, the patient was very satisfied with the postoperative outcome, and no notable complications developed ().