# Short-Term Follow-up of Surgical Management Verruca Vulgaris with Modified Estlander Flap: A Case Report and Recent Literature Review

## TL;DR

A 64-year-old man with a large oral wart underwent successful surgical removal and reconstruction using a modified Estlander flap, with no recurrence after one year.

## Contribution

This case report demonstrates the effectiveness of a modified Estlander flap for reconstructing large lip defects after oral wart excision.

## Key findings

- Surgical excision of a large oral VV resulted in a significant lip defect requiring reconstruction.
- The modified Estlander flap provided satisfactory functional and aesthetic outcomes with no recurrence after one year.

## Abstract

Verruca vulgaris (VV), widely known as warts, is a common benign skin lesion, which is caused by human papilloma virus. In some cases, VV can be developed within the oral cavity. Surgical excision is considered as the most preferred treatment modality for both cutaneous and oral VV which could be challenge to deal with.

Herein, a short-term case of a 64-year-old male patient with a large oral VV, involving the lower and upper lips, and commissure was reported. The patient underwent a wide surgical excision, resulting in a significant lip defect. The modified Estlander flap technique was applied to treat the defect and restore lip function. At one year post operation, no signs of recurrence were recorded, and the Estlander flap technique displayed satisfactory outcomes.

Surgical management of oral VV involving lips may leaves large defect, which requires consideration in defect reconstruction. This case report shows that reconstruction of the defect with a modified estlander flap resulted in a good outcome, with satisfactory functionality for the patient.

Key words:Estlander flap, verruca vulgaris, surgical excision.