Sun Guowen, Lu Mingxing, Hu Qingang
Department of Oral and Maxillofacial Surgery, School of Stomatology, Nanjing University Medical Center, Nanjing University, Stomatological Hospital of Nanjing, Nanjing, PR China.
J Craniofac Surg. 2013 Mar;24(2):360-2. doi: 10.1097/SCS.0b013e318267bb98.
The purpose of this study was to assess the clinical features, treatments, and results of extensive lip and perioral defects after tumor excision.
This is a retrospective study of patients with extensive lip and perioral defects who underwent surgical interventions during the 7-year period from April 2005 to April 2012. The reconstructive procedures of lip and perioral defects were mainly performed with regional flaps or free flaps.
Eleven patients with extensive lip and perioral defects were identified, and immediate lip and perioral defects reconstruction was performed with the folded free radial forearm flap in 2 patients, the free radial forearm flap and the forehead island flap in 1 patient, the pectoralis major myocutaneous flap in 2 patients, the submental island flap and the nasolabial flap in 1 patient, the folded thinned anterolateral thigh flap in 4 patients, and double skin paddle anterolateral thigh flaps and adjacent flap in 1 patient. All patients had good oral competence, and the cosmetic results were acceptable.
Reconstruction of extensive lip and perioral defects after tumor excision is a challenge for the plastic surgeon. It should take into account the patient's condition, local tissue characteristics, previous treatments, functional needs, cosmetic aspects, and so on. The surgeon might need to reconstruct the lip with regional flaps or free flaps.
本研究旨在评估肿瘤切除术后广泛唇部及口周缺损的临床特征、治疗方法及效果。
这是一项对2005年4月至2012年4月期间接受手术干预的广泛唇部及口周缺损患者的回顾性研究。唇部及口周缺损的重建手术主要采用局部皮瓣或游离皮瓣进行。
共确定11例广泛唇部及口周缺损患者，其中2例采用折叠游离桡侧前臂皮瓣进行即刻唇部及口周缺损重建，1例采用游离桡侧前臂皮瓣和额部岛状皮瓣，2例采用胸大肌肌皮瓣，1例采用颏下岛状皮瓣和鼻唇沟皮瓣，4例采用折叠薄型股前外侧皮瓣，1例采用双叶股前外侧皮瓣及邻位皮瓣。所有患者口腔功能良好，美容效果可接受。
肿瘤切除术后广泛唇部及口周缺损的重建对整形外科医生来说是一项挑战。应综合考虑患者病情、局部组织特征、既往治疗情况、功能需求、美容效果等因素。外科医生可能需要采用局部皮瓣或游离皮瓣来重建唇部。
