507 Total Lower Lip Reconstruction: A Systematic Review and Treatment Algorithm

Abstract Introduction To critically appraise the outcomes of different techniques described for total lower lip reconstruction in a retrospective study, where these factors were specifically documented. Method A comprehensive literature review was conducted over 20-year period using Pudmed and EMBASE search terms “local”, “regional”, “functional”, “total reconstruction”. Data collected included: patient demographics, aetiology reconstruction, methods (functional, aesthetic, complications). Results 204 patients from 28 studies included. Squamous cell carcinoma (93.1%) most common cause reconstruction. Of all flaps, 67% local 8.5% regional flaps 24.6% free flaps. Most used wide variety objective subjective outcome measures whereas only 4 validated scoring systems to determine functional aesthetic outcomes. Conclusions Despite myriad described, we are currently unable superior technique. Given ultimate goal is restore form function, recommend use standardised recording measure allow comparison identification best technique optimise patients'