采用肌黏膜推进瓣进行下唇再造。
Reconstruction of lower lip with myomucosal advancement flap.
机构信息
Department of Plastic and Reconstructive Surgery, Medical School of Yuzuncu Yil University, Van, Turkey.
出版信息
Head Neck. 2012 Nov;34(11):1562-9. doi: 10.1002/hed.21957. Epub 2011 Nov 23.
BACKGROUND
In this article, a new surgical procedure that can be used for reconstruction of lower lip defects of any size is described.
METHODS
In this prospective study, the surgical procedure was applied in 16 patients. In this procedure, the mucosa and the orbicularis oris muscle of the lower lip are repaired with a composite flap, and the skin defect is closed using local skin flaps. The patients were assessed in terms of complications, mouth opening, sphincter function of the mouth, and sensation in the lower lip.
RESULTS
The aesthetic results obtained in all patients were satisfactory. Sufficient oral sphincter function was achieved in all patients.
CONCLUSION
Reconstruction of lower lip defects using the procedure described here can be performed in patients with lower lip defects of any size as long as the mucosal and skin repair lines are not superimposed. This procedure yielded good sphincter function and aesthetic results.
背景
本文介绍了一种可用于重建任何大小下唇缺损的新手术方法。
方法
在这项前瞻性研究中，该手术程序应用于 16 名患者。在该手术中，使用复合瓣修复下唇的黏膜和口轮匝肌，并用局部皮瓣关闭皮肤缺损。评估患者的并发症、张口度、口腔括约肌功能和下唇感觉。
结果
所有患者的美学效果均令人满意。所有患者均获得足够的口腔括约肌功能。
结论
只要黏膜和皮肤修复线不重叠，使用此处描述的方法重建下唇缺损可用于任何大小的下唇缺损患者。该手术方法可获得良好的括约肌功能和美学效果。
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