Taner Ömer Faruk, Tekin Fatih, Sürmeli Mehmet, Tekin Özlem
Department of Plastic Reconstructive and Aesthetic Surgery, Gulhane Training and Research Hospital, Ankara, Turkey.
Fatih Tekin Plastic Surgery Clinic, Ankara, Turkey.
Plast Surg (Oakv). 2024 Dec 5:22925503241301728. doi: 10.1177/22925503241301728.
Reconstruction of large lower lip defects due to malignancies with good aesthetic result remains challenging. In this study we presented reconstruction of full thickness lower lip defect with modified hatchet flap. The charts of patients with 50% to 95% of the total lower lip defect due to lower lip tumor resection who had reconstruction with modified hatchet flap were reviewed. Seven of the patients had unilateral, two had bilateral modified hatchet flap. After follow-up period, it was concluded that this method provided a wide and functional mouth opening. Six of the patients stated that they were aesthetically satisfied with their appearance, while 3 patients found the result acceptable. None of the patients required additional surgical procedure. Modified hatchet flap is an easy-to-design, easy-to-remember flap with good aesthetic and functional results which makes it a reliable flap in the reconstruction of the large lower lip defects.
用改良斧形皮瓣重建因恶性肿瘤导致的大型下唇缺损并获得良好美学效果仍然具有挑战性。在本研究中，我们展示了用改良斧形皮瓣重建全层下唇缺损的方法。回顾了因下唇肿瘤切除导致下唇缺损达50%至95%且采用改良斧形皮瓣进行重建的患者病历。其中7例患者采用单侧改良斧形皮瓣，2例采用双侧改良斧形皮瓣。经过随访期，得出结论：该方法可提供宽阔且功能良好的开口。6例患者表示对自己的外观在美学上感到满意，而3例患者认为结果可以接受。所有患者均无需额外的手术。改良斧形皮瓣是一种易于设计、易于记忆的皮瓣，具有良好的美学和功能效果，使其成为重建大型下唇缺损的可靠皮瓣。
