Chen Wei-liang, Wang You-yuan, Zhou Miao, Yang Zhao-hui, Zhang Da-ming
Department of Oral and Maxillofacial Surgery, Sun Yet-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
J Craniofac Surg. 2012 Jan;23(1):181-3. doi: 10.1097/SCS.0b013e3182418ed5.
Although several techniques have been described for lower-lip reconstruction, functional reconstruction of total lower-lip defects remains a challenge. This study investigated a functional reconstruction technique for total lower-lip defects. Nine lower-lip defects were reconstructed after cancer ablation using double mental V-Y island advancement flaps, based on mental neurovascular bundle combined with tongue flaps. All flaps survived completely. The patients were followed up for 6 to 20 months. The lip function and sensation were normal, and aesthetic appearance was satisfactory. No patient developed local recurrence or lymphatic metastasis. The technique of combining a double mental neurovascular V-Y island advancement flap with a lingual mucosal membrane flap is ideal for the functional repair of total lower-lip defects after cancer ablation.
尽管已经描述了几种用于下唇重建的技术，但全下唇缺损的功能重建仍然是一项挑战。本研究探讨了一种全下唇缺损的功能重建技术。在癌症切除术后，使用基于颏神经血管束并结合舌瓣的双侧颏部V-Y岛状推进皮瓣重建了9例下唇缺损。所有皮瓣均完全存活。对患者进行了6至20个月的随访。唇部功能和感觉正常，美学外观令人满意。没有患者出现局部复发或淋巴转移。双侧颏神经血管V-Y岛状推进皮瓣与舌黏膜瓣相结合的技术是癌症切除术后全下唇缺损功能修复的理想方法。
