Sumida Tomoki, Yamada Tomohiro, Nakano Hiroyuki, Kobayashi Yosuke, Sadanari Miku, Daizen Rikiya, Chiba Teruyoshi, Mori Yoshihide
Department of Oral and Maxillofacial Surgery, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University, Fukuoka, Japan.
Department of Oral and Maxillofacial Surgery, Ehime Rosai Hospital, Ehime, Japan.
Ann Maxillofac Surg. 2020 Jul-Dec;10(2):475-478. doi: 10.4103/ams.ams_30_18. Epub 2020 Dec 23.
Although the incidence of lower lip cancer is not high in Japan, its treatment requires an approach that considers both esthetics and function. When surgical resection is required, the method used for reconstruction varies depending on the affected part. Despite various studies proposing different types of algorithms, no single method is considered the best. If the loss of half or more of the lip is predicted, a free flap may need to be considered, depending on the case. Here, we report a case involving a 78-year-old edentulous woman with lower lip cancer whose resection area involved approximately 70% of the red and white portions of the lower lip. Fortunately, no resection was required at the commissure. We accordingly performed reconstruction with a double Abbe flap in accordance with a detailed treatment plan. The patient was extremely satisfied with the esthetic and functional outcomes of the surgery.
虽然在日本下唇癌的发病率不高，但其治疗需要一种兼顾美观和功能的方法。当需要进行手术切除时，用于重建的方法会因受影响部位的不同而有所差异。尽管有各种研究提出了不同类型的算法，但没有一种方法被认为是最佳的。如果预计唇部损失一半或更多，根据具体情况可能需要考虑游离皮瓣。在此，我们报告一例涉及一名78岁无牙的下唇癌女性患者的病例，其切除区域约占下唇红白部分的70%。幸运的是，口角处无需切除。因此，我们根据详细的治疗计划采用双阿贝瓣进行了重建。患者对手术的美观和功能效果非常满意。
