CAJ | 학술논문

目的探讨全下唇缺损的功能性修复方法并观察其临床效果.方法 6例下唇癌患者行外科手术治疗,术后下唇缺损4/5至全下唇缺损,设计以双侧颏神经血管束为蒂的颏部岛状组织瓣V-Y推进修复下唇全厚缺损,重建口轮匝肌.结果术后组织瓣全部成活,随访3～14个月,肿瘤均无复发,唇外观良好,张口度接近正常,同时保留了良好的口周括约肌功能和口唇黏膜的正常感觉功能.结论对于局限于唇红或唇红缘下方1 cm内的全下唇缺损,双侧须神经血管束为蒂的颏部岛状组织瓣V-Y推进修复方法是比较理想的功能性重建方法.
목적 탐토전하진결손적공능성수복방법병관찰기림상효과.방법 6례하진암환자행외과수술치료,술후하진결손4/5지전하진결손,설계이쌍측해신경혈관속위체적해부도상조직판V-Y추진수복하진전후결손,중건구륜잡기.결과 술후조직판전부성활,수방3～14개월,종류균무복발,진외관량호,장구도접근정상,동시보류료량호적구주괄약기공능화구진점막적정상감각공능.결론 대우국한우진홍혹진홍연하방1 cm내적전하진결손,쌍측수신경혈관속위체적해부도상조직판V-Y추진수복방법시비교이상적공능성중건방법.
Objective To introduce a method of functional reconstruction for total lower lip defects.Methods Six patients with lower lip cancer were treated by surgery from November 2007 to February 2009.The full thickness defects with a size from eighty percent to total lower lip were reconstructed with two triangular mental neurovascular island flaps of chin.The musculocutaneous and mucous flaps with neurovascular pedicles were advanced in a V-Y manner to close the defect and reconstruct the orbicularis oris muscle.Results All flaps survived and no recurrence and complication were observed and showed excellent cosmetic and functional results over 6 months of follow-up.The reconstructed lower lips provided a wide-enough mouth opening,and the sensation of oral mucosa and the muscle function of oral sphincter were preserved.Conclusions The technique of mental neurovascular V-Y advancement island flap can get satisfactory results in both functional and the aesthetic perspects.