Flores Roberto L, Zide Barry M
Institute of Reconstructive Plastic Surgery, New York University School of Medicine, New York, New York.
Craniomaxillofac Trauma Reconstr. 2009 Oct;2(3):141-50. doi: 10.1055/s-0029-1224776.
When the editor asked me to write something related to the chin, I (B.M.Z.) told him I would like to concentrate on the soft tissue of the perioral and chin region, something previously not presented before in this Journal specifically or anywhere. Dr. Flores and I have chosen certain soft tissue cases of the lower face, each of which presents certain dilemmas. The reconstructive methods in each case are unique, previously not shown, and represent salvage from prior failures. Case 1 shows how an interior Abbe flap can be used for ipsilateral lip reconstruction. Case 2 shows how a large upper lateral lip elemental loss can be regained from cheek and not the lower lip. Cases 3 and 4 show how to regain proper white roll bulge and symmetry by overcorrection, then exact adjustment in a second stage. Case 5 shows how a failed chin/lip reconstruction can be salvaged to regain sulcus height and aesthetic unit reconstruction. Each case depicts unique reconstructive designs to produce an aesthetic final result.
当编辑要求我撰写与下巴相关的内容时，我（B.M.Z.）告诉他，我想专注于口周和下巴区域的软组织，这在本期刊或其他任何地方之前都未曾专门呈现过。我和弗洛雷斯博士挑选了一些下脸部软组织病例，每个病例都存在特定的难题。每个病例中的重建方法都是独特的，此前未曾展示过，且代表着从先前的失败中挽救过来。病例1展示了如何使用内部阿贝皮瓣进行同侧唇部重建。病例2展示了如何从脸颊而非下唇恢复上外侧唇部较大的组织缺失。病例3和病例4展示了如何通过过度矫正，然后在第二阶段进行精确调整来恢复适当的白唇隆起和对称性。病例5展示了如何挽救失败的下巴/唇部重建，以恢复沟深并重建美学单元。每个病例都描绘了独特的重建设计，以产生美观的最终效果。
