Vermilionectomy is effective for treatment of actinic cheilitis (AC) and squamous cell carcinoma (SCC) of the lower lip, according to a research letter published online Dec. 14 in JAMA Facial Plastic Surgery.
Isa Kaya, M.D., from Ege University in Bornova, Turkey, and colleagues conducted a retrospective analysis of 94 patients who underwent vermilionectomy and wedge resection in SCC and AC of the lower lip and had regular follow-up between 2005 and 2015. Patients were followed for a mean period of 68 months. Thirty-eight patients underwent classic vermilionectomy, and modified vermilionectomy with partial resection of the orbicularis oris muscle was performed in 19 patients. All patients underwent reconstruction with mucosal advancement flap. Simultaneous V-shaped wedge resection was performed for the patients with SCC.