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Page 6 of 6 Kannan et al. Plast Aesthet Res 2018;5:4 I http://dx.doi.org/10.20517/2347-9264.2018.02

In summary, for partial-thickness defects of upper lip and peri-commissural areas, following oncological
resection, where the underlying oral mucosa is uninvolved by tumour, the perforator-plus labio-mandibular
flap offers a safe and single-stage aesthetic reconstructive option with preservation of the oral sphincter and
perfect lip symmetry. It must be noted that this technique is specifically suited for more superficial defects,
not involving sacrifice of the lip mucosa and in particular, those in the geriatric population group.

DECLARATIONS
Authors’ contributions
Manuscript writing: Kannan RY
Help in manuscript writing and editing: Nduka C

Data source and availability
Case records (Queen Victoria Hospital, East Grinstead, UK).

Financial support and sponsorship
None.

Conflicts of interest
There are no conflicts of interest.

Patient consent
Obtained.

Ethics approval
Not applicable, as this technique is based on an extension of the Labbe procedure modification (Hallam et al.,
2012), developed at QVH, East Grinstead.

Copyright
© The Author(s) 2018.

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