Godefroy Willem P, Klop Willem M C, Smeele Ludi E, Lohuis Peter J F M
Center for Facial Plastic Reconstructive Surgery, Diakonessen Hospital Zeist/Utrecht, Zeist, the Netherlands.
Ann Otol Rhinol Laryngol. 2012 Sep;121(9):594-603. doi: 10.1177/000348941212100906.
We describe our experience in the reconstruction of large 3-layer lip defects using free revascularized lower-arm and fibula flaps.
Between 2005 and 2009, nine patients underwent free-flap reconstruction after oncological surgery involving the lip and chin with or without mandibular involvement. The flap techniques are described, and postoperative functional and aesthetic results were recorded.
There were no flap failures. All patients showed intact oral function and good aesthetic results. Two patients died of distant metastases, 8 months and 17 months after surgery.
Three-layer defects of the lip ideally require free-flap reconstruction, which has a high probability of achieving good functional and aesthetic results.
我们描述了使用游离血管化下臂皮瓣和腓骨皮瓣修复大面积三层唇部缺损的经验。
2005年至2009年期间，9例患者在涉及唇部和下巴的肿瘤手术后接受了游离皮瓣重建，部分患者伴有或不伴有下颌骨受累。描述了皮瓣技术，并记录了术后功能和美学效果。
没有皮瓣失败的情况。所有患者均表现出完整的口腔功能和良好的美学效果。两名患者分别在术后8个月和17个月死于远处转移。
唇部的三层缺损理想情况下需要游离皮瓣重建，这很有可能获得良好的功能和美学效果。
