采用桡侧前臂-掌长肌腱复合游离皮瓣修复全下唇及颏部缺损
Reconstruction of total lower lip and chin defects using the composite radial forearm--palmaris longus tendon free flap.
作者信息
Carroll C M, Pathak I, Irish J, Neligan P C, Gullane P J
机构信息
Head and Neck Program, Department of Otolaryngology, The Toronto General Hospital, Ontario, Canada.
出版信息
Arch Facial Plast Surg. 2000 Jan-Mar;2(1):53-6. doi: 10.1001/archfaci.2.1.53.
BACKGROUND
Functional and aesthetic restoration of total lip and chin defects can be achieved using the composite radial forearm-palmaris longus tendon free flap.
OBJECTIVE
To present the technique we use and our experience with this form of reconstruction in 10 consecutive patients with total lip and chin defects who were surgically treated between 1992 and 1998.
METHODS
The palmaris longus tendon acting as a sling over which the flap is draped is responsible for long-term maintenance of vertical lip height and lip support. The factors responsible for this are the long-term maintenance of vertical lip height and lip support and the transfer of facial muscle activity to the neolip.
RESULTS
All patients were satisfied with their final reconstructive result. Oral competence for deglutition and speech was achieved in all patients in our case series, with no incidence of drooling.
CONCLUSION
We recommend the use of the composite radial forearm-palmaris longus tendon free flap for this type of reconstructive surgery. Arch Facial Plast Surg. 2000;2:53-56
背景
采用桡侧前臂-掌长肌腱复合游离皮瓣可实现全唇和颏部缺损的功能及美学修复。
目的
介绍我们在1992年至1998年间对10例连续的全唇和颏部缺损患者进行手术治疗时所采用的技术及这种重建方式的经验。
方法
掌长肌腱作为皮瓣覆盖其上的吊带，负责长期维持唇部垂直高度和唇部支撑。其作用机制包括长期维持唇部垂直高度和唇部支撑，以及将面部肌肉活动传递至新唇。
结果
所有患者对最终的重建效果均感满意。在我们的病例系列中，所有患者均实现了吞咽和言语时的口腔功能，且无流涎现象发生。
结论
我们推荐将桡侧前臂-掌长肌腱复合游离皮瓣用于此类重建手术。《整形外科学档案》。2000年；2：53 - 56
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