Oh Suk Joon
From the Institute of Burn, Reconstructive Plastic Surgery, Bestian Seoul Hospital, Seoul, Republic of Korea.
J Craniofac Surg. 2014 May;25(3):995-7. doi: 10.1097/SCS.0000000000000652.
Reconstruction of the upper lip requires symmetrical reconstruction of hairy male skin according to the aesthetic principle. A moderate defect of the upper lip had nonhairy skin on the upper one-third and hairy skin on the lower two-thirds in a Korean man. A hairy preauricular free flap is useful for correcting superficial-thickness skin defects of the upper lip, when local and regional flaps are not applicable. This flap was harvested from hairy posterior sideburn skin of the preauricular area including a vascular pedicle of superficial temporal artery and vein. The superficial temporal artery and vein were anastomosed with the facial artery and vein in the nasolabial fold area. The trapdoor marginal scar of this free flap required marginal scar revision and debulking twice during the postoperative course. A moderate partial-thickness defect of the upper lip in the male patient can be aesthetically restored using this free flap.
根据美学原则，上唇重建需要对有毛发的男性皮肤进行对称重建。一名韩国男性上唇存在中度缺损，其上三分之一为无毛皮肤，下三分之二为有毛皮肤。当局部和区域皮瓣不适用时，带毛发的耳前游离皮瓣可用于纠正上唇的浅表性皮肤缺损。该皮瓣取自耳前区域有毛发的后侧鬓角皮肤，包括颞浅动静脉的血管蒂。颞浅动静脉与鼻唇沟区域的面动静脉进行吻合。该游离皮瓣的活板门边缘瘢痕在术后过程中需要进行两次边缘瘢痕修复和减容。使用该游离皮瓣可在美学上修复男性患者上唇的中度部分厚度缺损。
