通过双侧有限切除和逐步单阶段方法（BLESS）重建下唇巨唇症。

Reconstruction of Macrocheilia on the Lower Lip Through Bilateral Limited Excision and a Stepwise Single-Stage Approach (BLESS).

作者信息

Yu Wenxin, Zhu Jiafang, Han Yue, Ma Gang, Lin Xiaoxi

机构信息

Department of Laser and Aesthetic Medicine, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

Dermatol Surg. 2023 Feb 1;49(2):140-144. doi: 10.1097/DSS.0000000000003687.

DOI:10.1097/DSS.0000000000003687

PMID:36728064

Abstract

BACKGROUND

The surgical management of macrocheilia secondary to port-wine stains is complicated.

OBJECTIVE

This study aimed to propose an innovative method for treating macrocheilia on the lower lip.

METHODS

Patients who underwent the reconstruction of macrocheilia on the lower lip through the innovative approach were examined. Their preoperative and postoperative standard photographs were taken to evaluate the changes in lip length and thickness. The scores on Vancouver scar scale (VSS) and visual analog scale (VAS) were evaluated.

RESULTS

Thirty-two patients who underwent the reconstruction of macrocheilia were examined. A follow-up of 12.2 months (6-36 months) was conducted. The lower lip contour and the mentolabial groove were reconstructed to normal appearance. The lip length was shortened from 5.38 ± 0.49 cm pretreatment to 4.59 ± 0.30 cm posttreatment (p = .016). The exposed vermilion was shortened from 2.05 ± 0.48 cm to 1.26 ± 0.12 cm posttreatment (p < .01). The mean VSS and VAS scores were 2.2 ± 1.5 and 8.4 ± 1.3, respectively.

CONCLUSION

The bilateral limited excision and stepwise single-stage approach were safe and effective for reconstructing prominent macrocheilia on the lower lip. The technique was also easy to command for the beginners.

摘要

背景

葡萄酒色斑继发巨唇的手术治疗较为复杂。

目的

本研究旨在提出一种治疗下唇巨唇的创新方法。

方法

对采用创新方法进行下唇巨唇重建的患者进行检查。拍摄其术前和术后标准照片，以评估唇长和厚度的变化。评估温哥华瘢痕量表（VSS）和视觉模拟量表（VAS）的评分。

结果

对32例行巨唇重建术的患者进行检查。进行了12.2个月（6 - 36个月）的随访。下唇轮廓和颏唇沟重建至正常外观。唇长从治疗前的5.38±0.49 cm缩短至治疗后的4.59±0.30 cm（p = 0.016）。治疗后外露唇红从2.05±0.48 cm缩短至1.26±0.12 cm（p < 0.01）。VSS和VAS评分的平均值分别为2.2±1.5和8.4±1.3。