在下唇肌肉严重缺损的病例中，采用颞肌前三分之一并延长肌腱移植进行吊带悬吊，以纠正游离皮瓣重建后的口腔失禁。
Sling suspension using the anterior third of the temporalis muscle extended with tendon graft to correct oral incontinence after free flap reconstruction in cases of a major defect of the lower lip muscle.
作者信息
Huang Tsung-Chun, Li Tzong-Shiun, Weng Hui-Ching, Liu Ka-Wai, Pedro Ciudad, Yeo Matthew Sze-Wei, Chen Hung-Chi
机构信息
Department of Plastic and Reconstructive Surgery, China Medical University Hospital, China Medical University, Taichung, Taiwan.
出版信息
Head Neck. 2016 May;38(5):683-8. doi: 10.1002/hed.23948. Epub 2015 Jun 25.
BACKGROUND
Oral incontinence is a common complication after free flap reconstruction after ablation of oral cancers. The postoperative incontinence was corrected with strong suspension to the temporalis muscle in cases of major or total defect of lower lip muscles.
METHODS
Eight patients with oral cancer with previous skin flaps for reconstruction of the lower lip had incontinence because of major or total loss of the lower lip muscle. A tendon graft was used as a suspension sling sutured to the anterior third of the bilateral temporalis muscle.
RESULTS
Oral continence without drooling was achieved by suspension of the temporalis muscle with free movement of the lower lip.
CONCLUSION
This is a good option for correcting the incontinence after major or total loss of lower lip muscles in patients with oral cancer.
背景
口腔癌切除术后游离皮瓣重建后，口腔失禁是一种常见并发症。下唇肌肉出现严重或完全缺损时，采用强力悬吊颞肌的方法纠正术后失禁。
方法
8例口腔癌患者此前接受过皮瓣重建下唇，因下唇肌肉严重或完全缺失而出现失禁。使用肌腱移植物作为悬吊吊带，缝合至双侧颞肌前三分之一处。
结果
通过颞肌悬吊和下唇自由活动实现了无流口水的口腔节制。
结论
对于口腔癌患者下唇肌肉严重或完全缺失后的失禁矫正，这是一个很好的选择。
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