Koike Takashi, Kanno Takahiro, Karino Masaaki, Sekine Joji
Dept. of Oral and Maxillofacial Surgery, National Hospital Organization Hamada Medical Center.
Gan To Kagaku Ryoho. 2017 Nov;44(12):1936-1938.
Surgery is generally indicated for the treatment of lower lip carcinoma. However, surgery can lead to esthetic as well as functional issues, with disturbances in eating and articulation. If the defect involves less than one-third of the width of the lower lip, primary closure is possible. If the defect is wider, reconstructive local flaps may be necessary for both esthetic and functional recovery. This report describes a case of lower lip verrucous carcinoma in which a tongue flap was used to treat a defect involving more than half the width of the lower lip following resection. The patient was a 91-year-old woman who complained of lower lip discomfort. A biopsy revealed verrucous carcinoma, and we performed resection. After a 3-week waiting period, we performed secondary tongue flap reconstruction. Satisfactory function and cosmetic results were achieved.
手术通常用于治疗下唇癌。然而,手术可能会导致美观和功能问题,影响进食和发音。如果缺损小于下唇宽度的三分之一,则可进行一期缝合。如果缺损较宽,则可能需要采用重建局部皮瓣来实现美观和功能的恢复。本报告描述了一例下唇疣状癌病例,该病例在切除术后使用舌瓣治疗涉及下唇宽度一半以上的缺损。患者为一名91岁女性,主诉下唇不适。活检显示为疣状癌,我们进行了切除手术。在等待3周后,我们进行了二期舌瓣重建。获得了满意的功能和美容效果。