Total lower lip and chin reconstruction with the infrahyoid musculocutaneous flap.

A composite resection of total lip, chin and part of the mandible creates a defect that challenges the capability for reconstruction to obtain an acceptable result, both functionally and aesthetically. We have successfully used the infrahyoid musculocutaneous flap to reconstruct such a defect in a patient who had basal cell carcinoma of the low lip. Since the flap is pliable, relatively thin and can be used to reconstruct the defect in one stage, it deserves consideration as one of the flaps of choice for this particular defect.