Herrera Enrique, Bosch Ricardo Juan, Barrera Maria Victoria
Department of Dermatology, Virgen de la Victoria University Hospital, School of Medicine, Málaga, Spain.
Dermatol Surg. 2008 May;34(5):648-55. doi: 10.1111/j.1524-4725.2007.34121.x. Epub 2008 Feb 6.
Surgical treatment of epidermoid carcinoma of the lower lip occasionally involves resection of a large part of this anatomic area. Several techniques are available for its repair, including Bernard's technique. Since its first description in 1853, this technique has incorporated several small modifications, which we discuss.
We report our experience with nine patients who underwent resection of more than one-third of the lower lip due to epidermoid carcinoma, for the reconstruction of which we used four variants of Bernard's cheiloplasty, some already described and others original.
The tumor was fully excised in all patients with a good functional and aesthetic result for the type of technique used. No patient had postsurgical complications or local relapse, and one patient developed lymph node metastasis in the cervical chain.
Bernard's cheiloplasty is a technique that, although quite complicated, is very useful for the reconstruction of lower lip losses greater than one-third of the overall size of the lower lip. The results provide for a good functionality of the lip and a satisfactory aesthetic aspect.
下唇表皮样癌的手术治疗偶尔需要切除该解剖区域的大部分。有几种技术可用于修复，包括伯纳德技术。自1853年首次描述以来，该技术已进行了几次小的改进，我们将对此进行讨论。
我们报告了9例因表皮样癌接受下唇三分之一以上切除的患者的经验，我们使用了伯纳德唇成形术的四种变体进行重建，其中一些已有描述，另一些是原创的。
所有患者的肿瘤均被完全切除，根据所使用的技术类型，功能和美学效果良好。没有患者出现术后并发症或局部复发，1例患者出现颈链淋巴结转移。
伯纳德唇成形术虽然相当复杂，但对于下唇缺损大于下唇整体大小三分之一的重建非常有用。结果使唇部具有良好的功能和令人满意的美学外观。
