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[上唇缺损的修复]

[Reconstruction of upper lip defect].

作者信息

Long Jian-Hong, Sun Yang, Yang Xing-Hua, Zhang Pi-Hong

出版信息

Zhonghua Zheng Xing Wai Ke Za Zhi. 2013 Nov;29(6):427-31.

PMID:24624880
Abstract

OBJECTIVE

To summarize the clinical experience for the reconstruction of upper lip defects in different degrees.

METHODS

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.

RESULTS

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.

CONCLUSIONS

Satisfactory results could be achieved for upper lip defects with appropriate treatment methods according to the defects degree and characters.

摘要

目的

总结不同程度上唇缺损修复的临床经验。

方法

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。

结果

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。

结论

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。

相似文献

1
[Reconstruction of upper lip defect].[上唇缺损的修复]
Zhonghua Zheng Xing Wai Ke Za Zhi. 2013 Nov;29(6):427-31.
2
Nasolabial and forehead flap reconstruction of contiguous alar-upper lip defects.鼻唇沟和前额皮瓣修复鼻翼-上唇连续缺损
J Plast Reconstr Aesthet Surg. 2017 Mar;70(3):330-335. doi: 10.1016/j.bjps.2016.10.027. Epub 2016 Nov 11.
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A regional approach to reconstruction of the upper lip.一种上唇重建的局部方法。
J Oral Maxillofac Surg. 1997 Apr;55(4):383-9. doi: 10.1016/s0278-2391(97)90132-4.
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[Correction of whistle deformity in bilateral cleft lip with lower lip bipedicle orbicularis oris musculomucosal island flap].[应用下唇双蒂口轮匝肌肌黏膜岛状瓣矫正双侧唇裂口哨畸形]
Zhonghua Zheng Xing Wai Ke Za Zhi. 2016 Nov;32(6):401-4.
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Modified bilateral cleft lip repair with orbicularis reconstruction and prolabial self-elongation.采用口轮匝肌重建和前唇部自我延长的改良双侧唇裂修复术。
J Oral Maxillofac Surg. 1998 Jan;56(1):28-32; discussion 33. doi: 10.1016/s0278-2391(98)90911-9.
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Nasolabial rotation flaps based on the upper lateral lip subunit for superficial and large defects of the upper lateral lip.基于上唇外侧亚单位的鼻唇旋转皮瓣修复上唇外侧的浅表和大面积缺损。
Plast Reconstr Surg. 2012 Sep;130(3):556-560. doi: 10.1097/PRS.0b013e31825dc09f.
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The application of bilateral lip mucosa flaps in repairing upper vermilion defects.双侧唇黏膜瓣在修复上唇红缺损中的应用。
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Thickness of orbicularis oris muscle in unilateral cleft lip: before and after labial adhesion.单侧唇裂患者口轮匝肌厚度:唇粘连前后情况
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[Correction of secondary deformity of unilateral cleft lip with refined anatomic repair in orbicularis oris muscle].[采用口轮匝肌精细解剖修复法矫正单侧唇裂继发畸形]
Zhonghua Zheng Xing Wai Ke Za Zhi. 2010 Jul;26(4):254-7.
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Aesthetic reconstruction of the upper lip with novel split musculomucosal-pedicle cross-lip flap.采用新型劈开肌黏膜蒂交叉唇瓣对上唇进行美学重建。
Ann Plast Surg. 2014 Sep;73 Suppl 1:S88-91. doi: 10.1097/SAP.0000000000000250.

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