Fang Qi-Gen, Shi Shuang, Zhang Xu, Li Zhen-Ning, Liu Fa-Yu, Sun Chang-Fu
Resident, Department of Oral Maxillofacial Surgery, Oromaxillofacial-Head and Neck Surgery, School of Stomatology, China Medical University, Shenyang, Liaoning, China.
Resident, Pediatric Density, School of Stomatology, China Medical University, Shenyang, Liaoning, China.
J Oral Maxillofac Surg. 2014 Apr;72(4):834.e1-6. doi: 10.1016/j.joms.2013.12.010. Epub 2013 Dec 16.
To assess the effectiveness of double mental V-Y island advancement flaps for total lower lip reconstructions.
During a 6-year period, from 2006 to 2012, total lower lip reconstruction was performed in 12 patients using double mental V-Y island advanced flaps. The resulting lip function and superiority of each flap were analyzed. To assess any cosmetic implications, patients were asked to answer the Appearance Domain section from the University of Washington Quality of Life Questionnaire at least 12 months after discharge from the hospital.
All flaps survived completely and no short-term postoperative complications occurred. The mean follow-up time was 34.5 months (range, 15 to 69 months) and there was no recurrence of disease. All patients were capable of consuming a regular oral diet and no patients complained of an inability to eat in a public setting, drooling, or microstomia. The mean preoperative and postoperative open-mouth widths were 4.1 and 3.7 cm, respectively, and the mean reduced open-mouth width was 10%. The intercommissural width varied from 4.6 to 6.8 cm (mean, 5.5 cm). The mean postoperative 2-point discrimination was 11.2 mm (range, 9 to 13 mm). The mean score for the Appearance Domain section was 93.8 (range, 75 to 100).
The mental V-Y island advancement flap reconstruction is a reliable procedure for total lower lip reconstruction.
评估双侧颏部V-Y岛状推进皮瓣用于全下唇重建的有效性。
在2006年至2012年的6年期间，对12例患者采用双侧颏部V-Y岛状推进皮瓣进行全下唇重建。分析所得的唇部功能及各皮瓣的优势。为评估任何美学影响，要求患者在出院至少12个月后回答华盛顿大学生活质量问卷中的外观领域部分。
所有皮瓣均完全存活，术后无短期并发症发生。平均随访时间为34.5个月（范围15至69个月），且无疾病复发。所有患者均能够正常经口进食，无患者抱怨在公共场合无法进食、流口水或小口畸形。术前和术后平均开口宽度分别为4.1 cm和3.7 cm，平均开口宽度减小10%。口角间宽度在4.6至6.8 cm之间（平均5.5 cm）。术后平均两点辨别觉为11.2 mm（范围9至13 mm）。外观领域部分的平均得分为93.8（范围75至100）。
颏部V-Y岛状推进皮瓣重建是全下唇重建的可靠术式。
