skin advancement flap as an adjustment for repairing angle of mouth in oral cancer

Oral cancer is difficult to repair if excision involves the lips and angle of the mouth. A successful primary repair becomes more important when there are economic constraints and the follow-up turn out is poor. In this case the cancer involved both lips and the commissure. Disease free margins were achieved following excision. An advancement flap was raised from the lower part of the face as an adjvant to the conventional Abbe Estlander and Karapandzic flaps to cover the defect. There was no speech defect or drooling of saliva. Mouth opening and cosmetic results were acceptable in a year's follow-up