Department of Plastic and Reconstructive Surgery, National Public Service Personnel Mutual Aid Associations Tachikawa Hospital, Tachikawa, Tokyo, Japan.
J Plast Reconstr Aesthet Surg. 2012 Dec;65(12):1725-8. doi: 10.1016/j.bjps.2012.04.011. Epub 2012 May 17.
Full-thickness lower lip defects most often occur due to tumour resection or injury. Because the lower lip is important for both eating and speaking, reconstruction of the region must restore the structure and function of the tissue. Here, we describe a new procedure to reconstruct the lower lip, using a 'wing flap': a mental V-Y rotational advancement flap that contains the mental nerve. This flap can preserve the sensory innervation of the lower lip, and it allows effective reconstruction of the muscle sling. We have employed this method twice and have obtained good aesthetic and functional outcomes. No special technique is required to reconstruct the lip using this flap, and it yields a satisfactory outcome. Thus, we recommend it as an effective method for reconstruction in wide lower lip defects.
全层下唇缺损最常因肿瘤切除或损伤而发生。由于下唇对于进食和说话都很重要，因此该区域的重建必须恢复组织的结构和功能。在这里，我们描述了一种使用“翼瓣”重建下唇的新方法：包含颏神经的颏 V-Y 旋转推进皮瓣。该皮瓣可以保留下唇的感觉神经支配，并允许有效的肌肉吊带重建。我们已经使用这种方法进行了两次手术，并且获得了良好的美学和功能效果。使用这种皮瓣重建嘴唇不需要特殊的技术，并且可以获得满意的效果。因此，我们推荐它作为一种广泛下唇缺损的有效重建方法。
