Keskin Mustafa, Sutcu Mustafa, Tosun Zekeriya, Savaci Nedim
Department of Plastic and Reconstructive Surgery, Selcuk University Meram Medical School, Konya, Turkey.
J Craniofac Surg. 2010 Mar;21(2):349-51. doi: 10.1097/SCS.0b013e3181cf603a.
Subtotal and total reconstruction of the lower lip is a challenge for the plastic surgeon. Large defects extending to the chin area can be difficult to manage with only local flaps, and free flaps are better suited. In an attempt to restore the lower lip with the vermilion, the authors used the radial forearm free flap with anteriorly based ventral tongue flap in 5 patients. The tongue flap is used 3 months after the free flap procedure, and this flap is divided 3 weeks later. The tongue flap transfer, adaptation, and division are done under local anesthesia. In all patients, the aesthetic result was excellent compared with the complexity of the reconstructed defect. Patient compliance was uneventful. Although it is a 3-stage reconstruction, combination of radial forearm flap with the tongue flap offers functional and fine aesthetic results.
下唇的部分和全层重建对整形外科医生来说是一项挑战。延伸至下巴区域的大面积缺损仅用局部皮瓣难以处理，游离皮瓣则更适用。为了用唇红重建下唇，作者对5例患者采用了带蒂舌腹瓣的桡侧前臂游离皮瓣。舌瓣在游离皮瓣手术后3个月使用，3周后断蒂。舌瓣的转移、贴合和断蒂均在局部麻醉下进行。与重建缺损的复杂性相比，所有患者的美学效果均极佳。患者依从性良好。尽管这是一种三期重建，但桡侧前臂皮瓣与舌瓣联合使用可提供功能和良好的美学效果。
