Chicago, Ill.; and Taipei, Taiwan From the Section of Plastic and Reconstructive Surgery, University of Chicago, and the Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital and Medical College, Chang Gung University.
Plast Reconstr Surg. 2012 Sep;130(3):556-560. doi: 10.1097/PRS.0b013e31825dc09f.
Reconstruction of the defects of the upper lateral lip is still one of the most difficult challenges for plastic surgeons. No method specific to the superficial and larger defects of the upper lateral lip has been proposed before. Nasolabial rotation flaps based on the upper lateral lip subunit for superficial and large defects of the upper lateral lip are proposed.
In six patients reported here, rotation flaps shaped to replace the subunits of the upper lip were used to repair defects. Three men and three women presented with unilateral superficial, large defects (occupying 50 percent of an upper lip subunit). The defect and upper lateral lip ratio ranged from 50 to 100 percent (average, 65 percent) in this series. All lesions were partial-thickness.
Follow-up for all patients was 6 to 13 months (average, 6.8 months). No flap loss was noted. No patients had infection, hematoma, nerve injury, or secondary revision. The results were satisfactory.
Nasolabial rotation flaps based on upper lateral lip subunits are reliable for reconstructing large, superficial defects of the upper lateral lip. Because they preserve the normal facial appearance with minimal donor-site morbidity, excellent aesthetic reconstructive results are easily achieved by appropriate patient selection and preoperative planning.
上唇外侧缺损的重建仍然是整形外科医生面临的最具挑战性的问题之一。以前没有提出过专门针对上唇浅层和较大缺损的方法。提出了基于上唇亚单位的鼻唇旋转皮瓣用于修复上唇浅层和较大的缺损。
在此报道的 6 例患者中，使用成形的旋转皮瓣来修复上唇亚单位的缺损。3 名男性和 3 名女性均有单侧浅层、大缺损（占上唇亚单位的 50%）。该系列中缺损与上唇的比例为 50%至 100%（平均为 65%）。所有病变均为部分厚度。
所有患者的随访时间为 6 至 13 个月（平均为 6.8 个月）。未观察到皮瓣丢失。无感染、血肿、神经损伤或二次修复。结果令人满意。
基于上唇亚单位的鼻唇旋转皮瓣是修复上唇大、浅层缺损的可靠方法。由于它们保留了正常的面部外观，供区并发症最小，通过适当的患者选择和术前规划，很容易获得良好的美学重建效果。
