Serletti J M, Tavin E, Moran S L, Coniglio J U
Division of Plastic Surgery, University of Rochester School of Medicine and Dentistry, N.Y., USA.
Plast Reconstr Surg. 1997 Feb;99(2):559-61. doi: 10.1097/00006534-199702000-00041.
The technique of total lower lip reconstruction with a composite radial forearm-palmaris longus free flap was further refined in this report. A ventral tongue flap enhanced the lip aesthetics by recreating the vermilion. Lip suspension was enhanced by securing the palmaris tendon to the malar eminences as well as to the cut ends of the orbicularis oris muscle. The patient achieved oral continence as well as dynamic movement of the lip during speaking and swallowing.
本报告进一步完善了采用桡侧前臂-掌长肌复合游离皮瓣进行全下唇重建的技术。通过重建唇红，腹侧舌瓣改善了唇部美观。将掌长肌腱固定于颧骨隆突以及口轮匝肌断端，增强了唇部悬吊。患者实现了口腔节制功能，并且在说话和吞咽时唇部能够进行动态运动。
