Coutinho Inês, Ramos Leonor, Gameiro Ana Rita, Vieira Ricardo, Figueiredo Américo
Coimbra University Hospital, Coimbra, PT.
An Bras Dermatol. 2015 May-Jun;90(3 Suppl 1):206-8. doi: 10.1590/abd1806-4841.20153714.
Squamous cell carcinoma of the lower lip is frequent, and radical excision sometimes leads to complex defects. Many lip repair techniques are aggressive requiring general anesthesia and a prolonged post-operative period. The nasolabial flap, while a common flap for the repair of other facial defects, is an under-recognized option for the reconstruction of the lower lip. We describe the use of nasolabial flap for the repair of a large defect of the lower lip in a ninety year-old male, with good functional results and acceptable cosmetic outcome. We believe the nasolabial flap is a good alternative for intermediate-to-large lower lip defects in patients with impaired general condition.
下唇鳞状细胞癌很常见，根治性切除有时会导致复杂的缺损。许多唇部修复技术创伤大，需要全身麻醉且术后恢复时间长。鼻唇瓣虽然是修复其他面部缺损的常用皮瓣，但在修复下唇方面却未得到充分认识。我们描述了一名90岁男性患者使用鼻唇瓣修复下唇大缺损的情况，功能恢复良好，美容效果也可接受。我们认为，对于全身状况不佳的患者，鼻唇瓣是修复中至大型下唇缺损的良好选择。
