Espitalier F, Dréno B, Malard O
Rev Laryngol Otol Rhinol (Bord). 2013;134(4-5):199-202.
To discuss advantages and disadvantages of Karapandzic flap for reconstruction of extensive defects of the lower lip.
Two clinical observations and a review of the literature are presented.
The Karapandzic flap requires only one operating time. The tissue used to reconstruct the lower lip is very close to the resected lip. The functional result is satisfactory, the lips being continent, allowing speech and feeding. The main advantage of this technique is the preservation of the labial sphincter, which is vascularized, mobile and sensitive. The aesthetic result is acceptable. This flap keeps the vermilion, but with rounded commissures that corrects spontaneously. The main disadvantage of this flap is the microstomia, requiring only rarely further surgery.
The Karapandzic flap is a good option for reconstruction of extensive defects of the lower lip. It recreates the labial sphincter, while maintaining its vascularization and innervation. Functionality is maintained, with an aesthetically acceptable result despite the presence of residual microstomia proportional to the defect.
探讨卡拉潘齐克皮瓣修复下唇大面积缺损的优缺点。
介绍两项临床观察并回顾相关文献。
卡拉潘齐克皮瓣仅需一次手术。用于修复下唇的组织与切除的唇部非常接近。功能效果令人满意，唇部能够保持闭合，可正常说话和进食。该技术的主要优点是保留了唇括约肌，其血运良好、可活动且敏感。美学效果尚可接受。此皮瓣保留了唇红，但口角呈圆形，可自行矫正。该皮瓣的主要缺点是小口畸形，很少需要进一步手术。
卡拉潘齐克皮瓣是修复下唇大面积缺损的良好选择。它重建了唇括约肌，同时维持其血运和神经支配。尽管存在与缺损成比例的残余小口畸形，但仍能维持功能，美学效果也可接受。
