Khan Abdul Ahad Ghaffar, Kulkarni Jyoti V
Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Aurangabad, Maharashtra, India.
Indian J Dent. 2014 Apr;5(2):107-9. doi: 10.4103/0975-962X.135291.
For full-thickness lip defects, the choice of reconstructive option depends on the size of the defect. Defects of one-quarter to one-third of the upper lip can be closed primarily. Largerdefects measuring one-third to two-thirds of the lower lip width may be closed with the Karapandzic, Abbe or Estlander flaps. If the commissure is involved, both the Karapandzic and Estlander flaps may be used; however, the Karapandzic is probably the better choice because it is better at maintaining oral competence. In the case of larger lower lip defects (more than two-thirds of the lip), if there is sufficient adjacent cheek tissue, the surgeon may employ the Karapandzic (for defects up to three-fourths of the lower lip width) or the Bernard-Burow's techniques (to reconstruct the entire lower lip). A case of post-traumatic, lower lip defect, reconstructed with a bilateral karapandzic flap is presented here.
对于全层唇部缺损，重建方法的选择取决于缺损的大小。上唇四分之一至三分之一的缺损可直接缝合。下唇宽度三分之一至三分之二的较大缺损可用卡拉潘齐克（Karapandzic）皮瓣、阿贝（Abbe）皮瓣或埃斯特兰德（Estlander）皮瓣修复。如果口角受累，卡拉潘齐克皮瓣和埃斯特兰德皮瓣均可使用；然而，卡拉潘齐克皮瓣可能是更好的选择，因为它在维持口腔功能方面表现更佳。对于较大的下唇缺损（超过下唇的三分之二），如果有足够的邻近颊部组织，外科医生可采用卡拉潘齐克皮瓣（用于下唇宽度达四分之三的缺损）或贝尔纳 - 布罗（Bernard - Burow）技术（用于重建整个下唇）。本文介绍一例采用双侧卡拉潘齐克皮瓣修复的创伤后下唇缺损病例。
