Mavili E, Kayikcioglu A, Gürsu G
Plastic and Reconstructive Surgery Department, Hacettepe University, Faculty of Medicine, Ankara, Turkey.
Eur J Surg Oncol. 1993 Aug;19(4):327-31.
Surgical excision of advanced lower lip carcinomas with adequate safety margins, in some cases, causes defects as large as three-fourths of the width of the lip or total lip defects. This paper describes a modification of nasolabial 'gate flap' for reconstruction of extensive defects of the lower lip. Splitting the flap into skin and mucosal flaps provides the surgeon more skin on the inferior aspect of the reconstruction where he needs skin without any mucosa and more mucosa on the superior aspect of the reconstruction where he needs mucosa for reconstruction of the vermilion and lower labial sulcus. Four patients with total lower lip defects have been treated with this technique. The results were quite satisfactory both functionally and cosmetically.
在某些情况下，对晚期下唇癌进行具有足够安全切缘的手术切除会导致唇部宽度四分之三大小的缺损或全唇缺损。本文描述了一种改良的鼻唇“门瓣”，用于修复下唇的大面积缺损。将皮瓣分为皮肤瓣和黏膜瓣，可为外科医生在重建的下唇下方提供更多皮肤（此处需要皮肤而无需任何黏膜），并在重建的上方提供更多黏膜（此处需要黏膜来重建唇红和下唇沟）。4例全下唇缺损患者已采用该技术进行治疗。功能和美容效果均相当令人满意。
