Nakamura Norifumi, Kawano Shintaro, Nakao Yu, Tateishi Koichiro, Ohishi Masamichi
Department of Oral and Maxillofacial Surgery, Kyushu University Hospital, Fukuoka, Japan.
J Oral Maxillofac Surg. 2005 Aug;63(8):1239-43. doi: 10.1016/j.joms.2005.04.017.
We describe a method for symmetrical vermilion reconstruction after resection of hemangiomas of the lip.
Four patients underwent vermilion reconstruction after resection of large cavernous hemangiomas of the lip. This reconstruction technique employed 3 basic components: 1 ) labial mucosal advancement flap, 2 ) orbicularis oris muscle flap, if necessary, and 3 ) free mucosal graft.
All patients successfully underwent the planned procedures without significant complications. Symmetrical profiles of vermilion of the lip were achieved in all cases, even when an extended excision had been performed.
We have found that the combination of labial mucosal advancement flaps, with or without muscular flaps, and free mucosal grafts provides excellent esthetic outcomes with a low complication rate. This method should be incorporated into the surgical techniques for symmetrical reconstruction after resection of hemangiomas of the lip.
我们描述一种唇部血管瘤切除术后对称唇红重建的方法。
4例患者在唇部巨大海绵状血管瘤切除术后进行唇红重建。该重建技术采用3个基本组成部分：1）唇黏膜推进瓣；2）必要时的口轮匝肌瓣；3）游离黏膜移植。
所有患者均成功完成计划手术，无明显并发症。所有病例均实现了唇部唇红的对称外形，即使进行了扩大切除。
我们发现，唇黏膜推进瓣联合或不联合肌瓣以及游离黏膜移植，能提供极佳的美学效果，且并发症发生率低。该方法应纳入唇部血管瘤切除术后对称重建的手术技术中。
