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利用藤森门皮瓣重建鳞状细胞癌：一例报告。

Utilizing the Fujimori Gate Flap for the Reconstruction of Squamous Cell Carcinoma: A Case Report.

作者信息

Vandana Ajay S, Wadewale Sanjana N, Gupta Chetan, Pawar Shreya S, Bhola Nitin, Pipare Vaibhav, Gurav Tikeshwari

机构信息

Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Department of Prosthodontics, Crown and Bridge, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Jul 25;16(7):e65348. doi: 10.7759/cureus.65348. eCollection 2024 Jul.

DOI:10.7759/cureus.65348
PMID:39184684
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11344633/
Abstract

The surgical treatment of oral squamous cell carcinoma (SCC) results in tissue defects caused by the removal of the cancerous tissue. There are various reconstruction options available for lip construction. Harvesting the flap to reconstruct these defects undoubtedly results in substantial morbidity. Lip reconstruction can be performed more efficiently and with reduced side effects by utilizing flaps, which can minimize donor site morbidity and shorten surgical harvesting time. We are reporting a case involving a 52-year-old male with SCC of the lip who presented without any comorbidity. This case report describes the careful lip reconstruction using the Fujimori gate flap technique following complete surgical excision of the lesion.

摘要

口腔鳞状细胞癌（SCC）的手术治疗会因癌组织切除而导致组织缺损。唇部重建有多种选择。采用皮瓣移植来修复这些缺损无疑会导致明显的并发症。通过使用皮瓣可以更高效地进行唇部重建，且副作用更少，这可以将供区并发症降至最低，并缩短手术切取时间。我们报告一例52岁无任何合并症的唇部SCC男性病例。本病例报告描述了在病变完全手术切除后，采用藤森门皮瓣技术进行精细的唇部重建。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4443/11344633/a6a6771cacad/cureus-0016-00000065348-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4443/11344633/c06f01d7b06e/cureus-0016-00000065348-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4443/11344633/0b9e23b35c0e/cureus-0016-00000065348-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4443/11344633/1a652c217eb0/cureus-0016-00000065348-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4443/11344633/c99624bfbfa8/cureus-0016-00000065348-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4443/11344633/aa4939f15cb9/cureus-0016-00000065348-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4443/11344633/6a6379228502/cureus-0016-00000065348-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4443/11344633/a6a6771cacad/cureus-0016-00000065348-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4443/11344633/c06f01d7b06e/cureus-0016-00000065348-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4443/11344633/0b9e23b35c0e/cureus-0016-00000065348-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4443/11344633/1a652c217eb0/cureus-0016-00000065348-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4443/11344633/c99624bfbfa8/cureus-0016-00000065348-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4443/11344633/aa4939f15cb9/cureus-0016-00000065348-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4443/11344633/6a6379228502/cureus-0016-00000065348-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4443/11344633/a6a6771cacad/cureus-0016-00000065348-i07.jpg

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本文引用的文献

1
Squamous cell carcinoma of lip: Clinical feature analysis and suggestion of reconstruction algorithm.唇鳞状细胞癌：临床特征分析及重建算法建议。
J Dermatol. 2024 Jun;51(6):799-806. doi: 10.1111/1346-8138.17181. Epub 2024 Mar 5.
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[Oral squamous cell carcinoma. Case report and review of literature].[口腔鳞状细胞癌。病例报告及文献综述]
Rev Med Inst Mex Seguro Soc. 2022 Feb 1;60(1):85-90.
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Upper Lip Reconstruction Using Fujimori Gate Flap in an Electrical Burn Patient.在一名电烧伤患者中使用藤森门襟皮瓣进行上唇重建。
Plast Reconstr Surg Glob Open. 2021 Nov 2;9(11):e3900. doi: 10.1097/GOX.0000000000003900. eCollection 2021 Nov.
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Oral squamous cell carcinoma: metastasis, potentially associated malignant disorders, etiology and recent advancements in diagnosis.口腔鳞状细胞癌：转移、潜在相关恶性疾病、病因及诊断的最新进展。
F1000Res. 2020 Apr 2;9:229. doi: 10.12688/f1000research.22941.1. eCollection 2020.
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Local flap reconstruction of acquired lip defects.后天性唇部缺损的局部皮瓣重建术。
Curr Opin Otolaryngol Head Neck Surg. 2012 Aug;20(4):254-61. doi: 10.1097/MOO.0b013e3283557dcf.
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The American Joint Committee on Cancer: the 7th edition of the AJCC cancer staging manual and the future of TNM.美国癌症联合委员会：第 7 版 AJCC 癌症分期手册与 TNM 的未来。
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Lip reconstruction.唇部重建。
Facial Plast Surg Clin North Am. 2005 May;13(2):301-14, vii. doi: 10.1016/j.fsc.2004.11.005.
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Combined tongue flap and V-Y advancement flap for lower lip defects.联合舌瓣和V-Y推进瓣修复下唇缺损。
Br J Plast Surg. 2005 Mar;58(2):258-62. doi: 10.1016/j.bjps.2004.10.021.
9
Total upper lip reconstruction with bilateral Fujimori gate flaps.
Plast Reconstr Surg. 2003 Feb;111(2):797-800. doi: 10.1097/01.PRS.0000041599.99985.8E.
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Carcinoma of the lip.唇癌
Otolaryngol Clin North Am. 1993 Apr;26(2):265-77.