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局部推进皮瓣修复巨大先天性下唇痣:一例报告

Giant congenital lower lip nevus restored by local advanced skin flap: a case report.

作者信息

Wang Liang, Yang Dongyun, Chen Liang, Tao Ling, Liu Jianyi, Dai Xia, Li Shirong

机构信息

Department of Plastic and Reconstructive Surgery, Southwest Hospital of Third Military Medical University, 30 Gaotanyan Main Street, Shapingba District, Chongqing, 400038, People's Republic of China.

出版信息

J Med Case Rep. 2015 May 1;9:99. doi: 10.1186/s13256-015-0515-x.

DOI:10.1186/s13256-015-0515-x
PMID:25928207
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4422469/
Abstract

INTRODUCTION

A congenital lower lip nevus is common, but a lower lip length lesion of more than 40% is hard to excise simply, without any distortion. We designed a lower lip bilateral advanced skin flap to restore the wound surface after completely and successfully removing the nevus.

CASE PRESENTATION

A 13-year-old Mongolian girl was referred to us with a giant congenital lower lip nevus. The lesion covered nearly half of her lower lip. We designed a lower lip bilateral advanced skin flap to restore the wound surface, after completely removing the nevus without advanced repair.

CONCLUSIONS

This case report demonstrates a case of a lower lip length defect of more than 40%, repaired by direct closure without dysfunction. It was a successful attempt that minimized the subsequent scar and dysfunction.

摘要

引言

先天性下唇痣较为常见,但下唇长度超过40%的病变单纯切除且不产生任何畸形很难做到。我们设计了一种下唇双侧推进皮瓣,以便在完全且成功切除痣后修复创面。

病例报告

一名13岁蒙古族女孩因巨大先天性下唇痣前来就诊。该病变几乎覆盖了她下唇的一半。我们设计了一种下唇双侧推进皮瓣来修复创面,在未进行超前修复的情况下完全切除了痣。

结论

本病例报告展示了一例下唇长度缺损超过40%的病例,通过直接缝合修复且无功能障碍。这是一次成功的尝试,将后续瘢痕和功能障碍降至最低。

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本文引用的文献

1
Prospective comparative study of lower lip defects reconstruction with different local flaps.不同局部皮瓣修复下唇缺损的前瞻性对照研究
J Craniofac Surg. 2011 Nov;22(6):2255-9. doi: 10.1097/SCS.0b013e318232786d.
2
Guide to early surgical management of lip hemangiomas based on our experience of 214 cases.基于 214 例经验的唇血管瘤早期外科治疗指南。
Plast Reconstr Surg. 2011 Nov;128(5):1117-1124. doi: 10.1097/PRS.0b013e31822b6908.
3
Reconstruction of the lower lip: Bernard technique and its variants.下唇重建:伯纳德技术及其变体。
Dermatol Surg. 2008 May;34(5):648-55. doi: 10.1111/j.1524-4725.2007.34121.x. Epub 2008 Feb 6.
4
Reconstruction of the lower lip: rationale to preserve the aesthetic units of the face.下唇重建:保留面部美学单元的原理
Plast Reconstr Surg. 2007 Oct;120(5):1231-1239. doi: 10.1097/01.prs.0000279147.73273.e9.
5
Lip and perioral reconstruction.唇部及口周重建。
Clin Plast Surg. 2005 Jul;32(3):431-45, viii. doi: 10.1016/j.cps.2005.02.007.
6
Reconstruction of labial commissure by a sliding U-shaped cheek flap.采用滑动U形颊瓣重建唇联合。
J Maxillofac Surg. 1979 Feb;7(1):11-4. doi: 10.1016/s0301-0503(79)80006-5.