Total lower lip reconstruction by the Webster - Bernard type bilateral full thickness triangular cheek advancement flap for a defect created by the excision of a capillary haemangioma

Discussion The Webster-Bernard flap is a useful reconstructive option for the lip defects created by surgical procedures involving the lip [1]. Possible complications includes early post operative wound dehiscence, notching of the middle part of the lip and gaping of the gingivobuccal sulcus [2]. Since it is an adynamic reconstruction, care should be taken to keep adequate tension in order to maintain oral competence specially when it used for the lower lip. Wael Hussein Mahmoud M. D. in his retrospective analysis of 15 patients reports that excellent outcome in terms of flap survival and microsomia while 13% of temporary incontinence to oral fluids with full recovery after 8-10 weeks of follow up [3]. Previous surgeries involving head and neck dissections can hamper the micro circulation in the face which needs special attention before planning the surgery [2].