Lee Junsang, Oh Suk Joon, Jung Sung Won, Koh Sung Hoon
Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University Medical Center, Anyang, Korea.
Arch Plast Surg. 2012 May;39(3):244-8. doi: 10.5999/aps.2012.39.3.244. Epub 2012 May 10.
Many types of upper lip reconstruction have been introduced to treat defects after a tumor excision or trauma. The authors treated two cases of upper lip defects. A 35-year-old woman presented with a squamous cell carcinoma of the left upper lip that had invaded the corner of the mouth. After resecting the tumor, the defect was 3.7×3.5 cm in size. A 52-year-old woman presented with a dog bite of the right upper lip. The defect measured 4.0×2.2 cm in size. The two cases were reconstructed by combined rotation and advancement of a cheek flap. This technique produced a good functional outcome that allowed for oral competence and created an opening of adequate size. A combination of rotation and an advancement flap can be used to treat upper lip defects in a single-stage procedure. This approach produces a good functional and cosmetic outcome.
已经引入了多种类型的上唇重建方法来治疗肿瘤切除或创伤后的缺损。作者治疗了两例上唇缺损病例。一名35岁女性，左上唇鳞状细胞癌侵犯口角，肿瘤切除后，缺损大小为3.7×3.5 cm。一名52岁女性，右上唇被狗咬伤，缺损大小为4.0×2.2 cm。两例均采用颊部皮瓣旋转推进联合修复。该技术产生了良好的功能效果，保证了口腔功能，并形成了足够大小的开口。旋转皮瓣和推进皮瓣联合应用可在一期手术中治疗上唇缺损。这种方法产生了良好的功能和美容效果。
