Williams E F, Setzen G, Mulvaney M J
Division of Otolaryngology, Albany Medical College, NY, USA.
Arch Otolaryngol Head Neck Surg. 1996 Nov;122(11):1253-8. doi: 10.1001/archotol.1996.01890230097017.
Subtotal lip reconstruction can be performed using local flaps such as the cross-lip flap or fan flap. Total lip reconstructive efforts usually are suboptimal in providing an adequate oral sphincter, an acceptable aesthetic result, or both. For total upper, lower, or extensive combined soft-tissue defects that include both lips, traditional methods of reconstruction include the use of regional flaps. More contemporary reconstructive efforts emphasize staged reconstruction with local tissue flaps using "like" tissue in a sequential fashion to achieve a successful outcome. We describe the reconstruction of total upper, lower, or extensive combined defects and report on 7 cases using a 2-staged method of reconstruction based on the modifications of the Bernard-Burow and Abbe flaps. The principle of esthetic units an intact modiolus and oral sphincter are emphasized to ensure excellent aesthetic and functional results.
唇部分重建可采用局部皮瓣，如交叉唇瓣或扇形皮瓣。在提供足够的口轮匝肌、可接受的美学效果或两者兼而有之方面，全唇重建通常效果欠佳。对于包括双唇的全上唇、全下唇或广泛的联合软组织缺损，传统的重建方法包括使用区域皮瓣。更现代的重建方法强调采用局部组织皮瓣进行分期重建，以连续的方式使用“相似”组织以获得成功的结果。我们描述了全上唇、全下唇或广泛联合缺损的重建，并报告了7例采用基于Bernard-Burow和Abbe皮瓣改良的两阶段重建方法的病例。强调美学单位、完整的口角和口轮匝肌的原则，以确保获得出色的美学和功能效果。
