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双侧鼻唇瓣修复累及口角的口腔鳞状细胞癌下唇部分缺损的多功能性:病例报告及文献复习

Versatility of bilateral nasolabial flap for reconstruction of subtotal lip defects in oral squamous cell carcinoma with commissural involvement: A case report and review literature.

作者信息

Bansal Vyomika, Singh Akhilesh K, Sharma Naresh K, Mahajan Arjun D

机构信息

Department of Surgical Oncology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.

出版信息

Natl J Maxillofac Surg. 2025 May-Aug;16(2):375-381. doi: 10.4103/njms.njms_71_24. Epub 2025 Aug 30.

Abstract

Reconstruction of the lip is crucial to regaining essential functions, including oral competency, speech articulation, and aesthetics. Reconstruction is often challenging when commissure is involved as it affects the anatomy of both the upper and lower lip as well as the size of the oral stoma. Improper commissure reconstruction results in drooling and a reduction in mouth opening. This case highlights the versatility of the simultaneous use of a bilateral nasolabial flap for the reconstruction of subtotal lower-lip defects in cases where a tumor involves one of the commissures, providing satisfactory aesthetic and functional results.

摘要

唇部重建对于恢复包括口腔功能、言语清晰度和美观度在内的基本功能至关重要。当累及口角时,重建往往具有挑战性,因为它会影响上唇和下唇的解剖结构以及口腔开口的大小。口角重建不当会导致流口水和张口受限。本病例突出了在肿瘤累及一侧口角的情况下,同时使用双侧鼻唇瓣修复下唇大部缺损的多功能性,可提供令人满意的美学和功能效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b57/12469060/2f2b5e655147/NJMS-16-375-g001.jpg

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