Nisar Ahmed Mangi, Syed Arif Hussain, Mohibullah Khan Ghilzai.
Functional comparison between karapandzic and gillies technique in lower lip tumors.
Pak J Surg Jan ;28(1):38-42.

Objective: To compare the functional results of Gillies and Karapandzic technique in malignant lip tumor in our setup. Study Design: Case Series Sett ing and Duration: Th is study was conducted in the Dept. of Plastic Surgery Jinnah Post Graduate Medical Centre from January 2000 to 2006. Methodology: All patients admitt ed were diagnosed case of squamous cell carcinoma of lower lip - Biopsy has been performed before the surgery to confi rm the diagnosis. All the base line investigations done. Including HBsAg Anti Hcv, Complete Blood Picture, BT,CT, blood sugar / Urea creatinine. Electrogtic CT scan was performed in patients for bone involvement. Results: 28 patients were included in the study. 18 patients (64%) were operated with GILLlIES fan fl ap and 10 (36%) with Karapandzic technique. Mean age of the patients were 52+7 male patients were 17 (60.7%) and female were 11 (39.3%). Out of 17 male 52% were selected for Gillies fan fl ap technique and 47% for Karapandzic technique. Out of female 81.8% for Gillies and 18.2% for Karapandzic were selected. Conclusion: Successful reconstruction depends on proper planning, gentle handling of tissues, fi ne instrumentation, and use of proper suture material. Our department is a tertiary unit and it caters the patients from all over the Pakistan. Surgeon experience is the most critical factor for a positive outcome in treating such patients. It is the need of time that the awareness program should be under taken to educate the masses about the hazards of pan, beetel nuts, ghutka and tobacco through the media and also encourage to go to the right physician and surgeon at the early stage so that early medical intervention is possible.

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