Long Jian-Hong, Sun Yang, Yang Xing-Hua, Zhang Pi-Hong
Zhonghua Zheng Xing Wai Ke Za Zhi. 2013 Nov;29(6):427-31.
To summarize the clinical experience for the reconstruction of upper lip defects in different degrees.
Different treatment methods were selected to reconstruct the upper lip defects according to the subunit, size or location of defects on the upper lip. The therapeutic results were analyzed and compared.
From Jan. 1998 to Apr. 2012, 243 cases with upper lip defects were treated, including 85 cases of traumatic defects, 110 cases of defects secondary to lip cleft and 48 cases of defects after tumor resection. 48 cases were treated with direct closure, 69 cases with cross-lip flaps, 5 Cases with orbicularis oris muscle flaps, 53 cases with unilateral labial flaps, 42 cases with bilateral labial flaps, 22 cases with lower lip flaps, and 1 case with forehead flap, 1 case with forearm flap and 2 with nasolabial fold flaps. The patients were followed up for 3-18 months with satisfactory results.
Satisfactory results could be achieved for upper lip defects with appropriate treatment methods according to the defects degree and characters.
总结不同程度上唇缺损修复的临床经验。
根据上唇缺损的亚单位、大小或位置,选择不同的治疗方法修复上唇缺损。对治疗结果进行分析比较。
1998年1月至2012年4月,共治疗上唇缺损患者243例,其中创伤性缺损85例,唇裂继发缺损110例,肿瘤切除术后缺损48例。直接缝合48例,交叉唇瓣69例,口轮匝肌瓣5例,单侧唇瓣53例,双侧唇瓣42例,下唇瓣22例,额瓣1例,前臂瓣1例,鼻唇沟瓣2例。患者随访3 - 18个月,效果满意。
根据上唇缺损的程度和特点选择合适的治疗方法,可取得满意的治疗效果。