Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan.
Chang Gung University, College of Medicine, Taoyuan, Taiwan.
Microsurgery. 2020 Feb;40(2):224-228. doi: 10.1002/micr.30456. Epub 2019 Apr 8.
Reconstruction of defects measuring approximately two-thirds of the lower lip width is traditionally reconstructed utilizing loco-regional flap utilizing lip and cheek tissues. This often results in microstomia and unsatisfactory aesthetic outcome. This may hinder the psychosocial aspect of a recovering cancer survivor. Here we describe a single-stage reconstruction in a 79-year-old male patient who received lower lip resection for squamous cell carcinoma. The reconstruction was accomplished using a facial artery musculomucosal flap together with a free radial forearm flap for vermilion and soft tissue defect reconstruction after lip tumor resection with uneventful postoperative course. The patient remains disease-free after 2-year follow-up and does not require revision surgeries for functional or aesthetic reason. This approach may be considered a good option for reconstruction of missing lip and soft tissue simultaneously when the facial vessels are well-preserved during neck dissection. Aesthetically pleasing and functionally satisfactory outcomes may be produced.
传统上，对于大约三分之二下唇宽度的缺损，利用唇和颊组织的局部皮瓣进行重建。这通常会导致小口畸形和不满意的美学效果。这可能会阻碍癌症康复患者的社会心理方面。在这里，我们描述了一位 79 岁男性患者的单阶段重建，该患者因鳞状细胞癌接受了下唇切除术。在唇肿瘤切除后，使用面动脉肌粘膜瓣和游离桡侧前臂皮瓣同时进行唇和软组织缺损重建，术后无并发症。在 2 年的随访中，患者无疾病复发，并且由于功能或美观原因无需进行修复手术。当颈部清扫时面部血管保存完好时，这种方法可能是同时重建缺失的唇和软组织的一个很好的选择。可以产生美观和功能满意的结果。
