[颏部神经血管V-Y岛状推进皮瓣修复下唇部分缺损的功能重建]
[Mental neurovascular V-Y island advancement flap in functional reconstruction of partial lower lip defect].
作者信息
Chen Wei-Liang, Wang Yong-Jie, Bai Zhi-Bao, Huang Zhi-Quan
机构信息
Department of Oral and Maxillofacial Surgery, the Second Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
出版信息
Zhonghua Zheng Xing Wai Ke Za Zhi. 2008 Jan;24(1):34-5.
OBJECTIVE
To investigate the functional reconstruction technique for partial lower lip defects.
METHODS
7 patients with lower lip cancer (3 cases of basal cell carcinoma, 2 cases squamous cell carcinoma and 2 cases papillary carcinoma) underwent excision. The full-thickness lower lip defects were one-third to two-third of the total lower lip length. All the defects were reconstructed with V-Y island advancement flaps based on the mental neurovascular bundle.
RESULTS
There was no flap loss. No recurrence was observed during the follow-up period of 3 months to one year. Both the aesthetic appearance, muscle function and sensation of the reconstructed lower lip were satisfactory.
CONCLUSIONS
Mental neurovascular V-Y island advancement flap is an ideal method for functional repair of partial lower lip defect.
目的
探讨下唇部分缺损的功能重建技术。
方法
7例下唇癌患者（3例基底细胞癌、2例鳞状细胞癌、2例乳头状癌）接受了切除术。下唇全层缺损占下唇总长度的三分之一至三分之二。所有缺损均采用基于颏神经血管束的V-Y岛状推进皮瓣进行重建。
结果
皮瓣无坏死。在3个月至1年的随访期内未观察到复发。重建下唇的美观、肌肉功能和感觉均令人满意。
结论
颏神经血管V-Y岛状推进皮瓣是下唇部分缺损功能修复的理想方法。
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