[前臂游离皮瓣悬吊于筋膜上修复全下唇或口角缺损：附10例报告]
[Reconstruction of total lower lip or corner of mouth defects with forearm free flap suspending over fascia: report of 10 cases].
作者信息
Hu Yong-jie, Qu Xing-zhou, Li Si-yi, Xu Li-qun, Hardianto A, Hang Chen-ping
机构信息
Department of Oral Maxillofacial Surgery, Ninth People's Hospital, School of Stomatology, Shanghai Second Medical University, Shanghai 200011, China.
出版信息
Shanghai Kou Qiang Yi Xue. 2005 Apr;14(2):117-9.
PURPOSE
To improve the contour and function of the lip and its commissure with forearm free flap suspending over fascia.
METHODS
Since 2001,this method was used in 10 cases. Forearm free flap was designed according to the lip or buccal defects, then the defects were reconstructed with the flap through vascular anastomosis. The skin island for reconstruction of the intraoral lining and the skin defect was folded over the palmaris longus tendon or fascia lata.
RESULTS
All the patients were followed-up for 2 years, the survival rate of the free flap was 100%, 2 patients had oral incompetence, the others had good oral function and sufficient oral competence. The flaps were helpful to expression of motion.
CONCLUSION
Reconstruction of total lower lip or corner of mouth defects with forearm free flap suspending over fascia was helpful for rehabilitation of contour and oral function.
目的
通过悬吊于筋膜上的前臂游离皮瓣改善唇部及其口角的外形和功能。
方法
自2001年起，该方法应用于10例患者。根据唇部或颊部缺损设计前臂游离皮瓣，然后通过血管吻合用皮瓣修复缺损。用于重建口内衬里和皮肤缺损的皮岛折叠于掌长肌腱或阔筋膜上。
结果
所有患者均随访2年，游离皮瓣存活率为100%，2例患者存在口闭合不全，其他患者口腔功能良好且口闭合充分。皮瓣有助于表情运动。
结论
用悬吊于筋膜上的前臂游离皮瓣修复全下唇或口角缺损有助于外形和口腔功能的恢复。
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