Kuwahara Masamitsu, Yurugi Satoshi, Mashiba Kumi, Iioka Hiroshi, Niitsuma Katsunori, Noda Taichi, Manago Eri
Division of Plastic Surgery, Nara Medical University, Kasihara, Nara, Japan.
J Plast Surg Hand Surg. 2012 Apr;46(2):80-4. doi: 10.3109/2000656X.2012.669193.
Reconstruction of the upper lip requires symmetrical reconstruction of the free border according to the aesthetic principle. We have reconstructed this area with a hatchet flap, so that the scars match the subunit line as far as possible by rotation and advancement of the flap. We operated on six patients. The lower pedicled flap was used in 4 cases and the upper pedicled flap in 2, who also needed reconstruction of the vermillion. In one patient the scar did not match the nasolabial fold. For the upper pedicled cases, scars made on the vermillion were not conspicuous. However, trap door deformity occurred in half, which was a disadvantage. We think that our flap is useful, because it leaves a minimal scar in an inconspicuous area.
根据美学原则，上唇重建需要对称重建游离边缘。我们采用斧形皮瓣重建该区域，通过皮瓣的旋转和推进，使瘢痕尽可能与亚单位线相匹配。我们对6例患者进行了手术。4例采用下蒂皮瓣，2例采用上蒂皮瓣，这2例患者还需要重建唇红。1例患者的瘢痕与鼻唇沟不匹配。对于上蒂皮瓣病例，唇红处形成的瘢痕不明显。然而，有一半出现了活板门畸形，这是一个缺点。我们认为我们的皮瓣是有用的，因为它在不显眼的区域留下最小的瘢痕。
