Haddock Nicholas T, Zide Barry M
Department of Plastic Surgery, New York University Langone Medical Center, New York, NY 10022, USA.
Ann Plast Surg. 2011 Dec;67(6):594-6. doi: 10.1097/SAP.0b013e31820859a9.
A cervicofacial flap remains the principal method to close defects of the posterior cheek. Schrudde described a variant of this technique, termed the angle-rotation flap, which allowed primary closure of the donor site. This flap has been elevated in the deep plane for the more medial defects. We extend this technique for upper lip reconstruction.
Two cases were reviewed that underwent upper lip reconstruction with the deep-plane Schrudde flap.
Two cases are presented to describe the use of the deep-plane angle-rotation flap. The first patient sustained a burn to his upper lip and the second patient had a partially grafted defect following a Mohs excision.
In patients with insignificant nasolabial folds, the deep-plane Schrudde flap is a good option to reconstruct perioral defects. The utilization of the deep plane improves the blood supply and allows improved contour for reconstruction of deeper defects.
颈面部皮瓣仍是闭合后颊部缺损的主要方法。施鲁德描述了该技术的一种变体，称为角旋转皮瓣，它可实现供区的一期闭合。对于更靠内侧的缺损，该皮瓣是在深层平面掀起的。我们将此技术扩展用于上唇重建。
回顾了两例采用深层平面施鲁德皮瓣进行上唇重建的病例。
展示两例病例以描述深层平面角旋转皮瓣的应用。第一例患者上唇烧伤，第二例患者在莫氏切除术后有部分移植缺损。
对于鼻唇沟不明显的患者，深层平面施鲁德皮瓣是重建口周缺损的一个良好选择。利用深层平面可改善血供，并为更深层缺损的重建提供更好的外形。
