CAJ | 학술논문

目的探讨由于不当治疗引起的上唇萎缩的治疗方法.方法 2008年3月至2012年3月,对4例因硬化剂注射治疗和放射治疗引起的上唇萎缩病例,采用下唇口轮匝肌瓣加脱细胞真皮包裹,将该瓣从口角转移至上唇以增加上唇的厚度和高度.结果 4例上唇萎缩均达到一期愈合,术后随访3年,所有病例上唇外部形态均得到改善,上唇红唇饱满,无明显瘢痕.结论应用脱细胞真皮包裹口轮匝肌治疗儿童上唇萎缩,可以有效地增加上唇厚度,较好地修复唇红,弥补儿童下唇组织量不足的缺陷.
목적 탐토유우불당치료인기적상진위축적치료방법.방법 2008년3월지2012년3월,대4례인경화제주사치료화방사치료인기적상진위축병례,채용하진구륜잡기판가탈세포진피포과,장해판종구각전이지상진이증가상진적후도화고도.결과 4례상진위축균체도일기유합,술후수방3년,소유병례상진외부형태균득도개선,상진홍진포만,무명현반흔.결론 응용탈세포진피포과구륜잡기치료인동상진위축,가이유효지증가상진후도,교호지수복진홍,미보인동하진조직량불족적결함.
Objective To investigate the treatment of upper lip atrophy resulted by previous therapy.Methods From Mar.2008 to Mar.2012,4 cases with upper lip atrophy resulted by radiotherapy and sclerosing agent injection were treated with lower orbicularis oris muscle flap wrapped by acelluar dermis.The thickness and height of upper lip were increased to improve the lip atrophy.Results Primary wound healing was achieved in all the 4 cases.All the patients were followed up for 3 years with obvious improvement and inconspicuous scar.Conclusion The volume of lower lip in children is not sufficient as donor site.The lower orbicularis oris muscle flap wrapped by acelluar dermis can effectively improve the lip thickness and vermilion portion of upper lip.