Yüce Serdar, Kahraman Ahmet, Hoşnuter Mubin, Işik Dağhan
From the *Department of Plastic, Reconstructive and Aesthetic Surgery, Yuzuncu Yil University Hospital, Van; †Department of Plastic, Reconstructive and Aesthetic Surgery, Mustafa Kemal University Hospital, Hatay; and ‡Department of Plastic, Reconstructive and Aesthetic Surgery, Katip Celebi University Hospital, Izmir, Turkey.
J Craniofac Surg. 2014 Jul;25(4):e318-20. doi: 10.1097/SCS.0000000000000584.
The most important decision that a surgeon has to make in large lower lip defect reconstruction is whether to use a free flap or local flap. Despite efficient transplantation, serious cosmetic problems can occur in total or in near-total lower lip reconstruction with a free flap. On the other hand, better cosmetic results can be brought about in reconstructions with local flaps when a repair is made in tissues with similar properties in terms of color, thickness, or pilosity. However, functional problems such as microstomy can be encountered when inefficient transplantation is carried out during local flap repairs. If a repair technique with local flap that enables efficient transplantation can be applied, satisfactory cosmetic as well as functional results can be provided. In this text, the technical details of the myomucosal advancement flap method, which is a successful functional local flap application with good cosmetic results, were reported and explained with the help of schematic drawings.
外科医生在大面积下唇缺损重建中必须做出的最重要决定是使用游离皮瓣还是局部皮瓣。尽管移植效果良好，但在全下唇或近全下唇游离皮瓣重建中仍可能出现严重的美容问题。另一方面，当利用颜色、厚度或毛发分布等特性相似的组织进行修复时，局部皮瓣重建能带来更好的美容效果。然而，在局部皮瓣修复过程中，如果移植效率低下，可能会出现诸如小口畸形等功能问题。如果能应用一种能实现高效移植的局部皮瓣修复技术，就能提供令人满意的美容和功能效果。本文借助示意图报告并解释了肌黏膜推进皮瓣法的技术细节，该方法是一种成功的功能性局部皮瓣应用，美容效果良好。
