Okochi Masayuki, Ueda Kazuki, Okochi Hiromi
Associate Professor, Department of Plastic and Reconstructive Surgery, Fukushima Medical University, Fukushima, Japan.
Professor, Department of Plastic and Reconstructive Surgery, Fukushima Medical University, Fukushima, Japan.
J Oral Maxillofac Surg. 2015 Jun;73(6):1232.e1-8. doi: 10.1016/j.joms.2014.12.025. Epub 2015 Jan 10.
The Bernard method is a straightforward method for reconstructing lower lip defects after tumor resection. However, this method is difficult to apply when the defect is located on the unilateral side of the lower lip. This report describes the reconstruction of unilateral lower lip defects using a modified Bernard method, which is referred to as the hemi-Bernard method. Three patients (2 male and 1 female; mean defect, 55%) underwent reconstruction using the hemi-Bernard method after lower lip malignant tumor resection. No infection or flap necrosis occurred, and none of the 3 patients had difficulty with oral ingestion. Movement of the orbicularis oris muscle was retained in all patients. The hemi-Bernard method is straightforward and has several advantages, including extension of lower lip length. This method could be useful for reconstructing full-thickness defects located on the unilateral side of the lower lip.
伯纳德法是一种用于肿瘤切除术后下唇缺损重建的直接方法。然而，当缺损位于下唇单侧时，该方法难以应用。本报告描述了使用改良伯纳德法（即半伯纳德法）重建单侧下唇缺损。3例患者（2例男性，1例女性；平均缺损率为55%）在接受下唇恶性肿瘤切除术后采用半伯纳德法进行重建。未发生感染或皮瓣坏死，3例患者均无经口进食困难。所有患者口轮匝肌的运动功能均得以保留。半伯纳德法操作简单，具有多种优点，包括延长下唇长度。该方法可能有助于重建位于下唇单侧的全层缺损。
