CAJ | 학술논문

目的探讨大范围红唇缺损的修复方法.方法以口角处颊肌与口轮匝肌交界处为蒂,上界距腮腺导管至少1 cm,宽度约2.5 ～3.0 cm,长度可达翼下颌缝,根据红唇缺损的范围设计颊肌黏膜瓣大小,旋转修复红唇处缺损,供区直接拉拢缝合,无需二次手术断蒂.结果 2003年7月至2013年4月,对14例大范围红唇缺损的患者行颊肌黏膜瓣修复术,术后未发生一例转移组织坏死,切口均一期愈合.获得随访5例,时间为0.5 ～3年,平均1年,红唇功能和外形均获得较好的修复,供区无明显影响,患者对修复效果和舒适度均较满意.结论对于大范围尤其是邻近口角的红唇缺损,颊肌黏膜瓣是一种理想的修复方法.
목적 탐토대범위홍진결손적수복방법.방법 이구각처협기여구륜잡기교계처위체,상계거시선도관지소1 cm,관도약2.5 ～3.0 cm,장도가체익하합봉,근거홍진결손적범위설계협기점막판대소,선전수복홍진처결손,공구직접랍롱봉합,무수이차수술단체.결과 2003년7월지2013년4월,대14례대범위홍진결손적환자행협기점막판수복술,술후미발생일례전이조직배사,절구균일기유합.획득수방5례,시간위0.5 ～3년,평균1년,홍진공능화외형균획득교호적수복,공구무명현영향,환자대수복효과화서괄도균교만의.결론 대우대범위우기시린근구각적홍진결손,협기점막판시일충이상적수복방법.
Objective To investigate a novel method for the reconstruction of large vermilion defects.Methods Based on the size and shape of the defects,a buccinator myomucosal flap pedicled with the junction of buccinator and orbicularis oris in the oral commisure was designed and rotated to reconstruct the large vermilion defects.The upper bound of the flap is at least 1 cm away from the stensen' s duct.The width is about 2.5-3.0 cm,and the length is as far as to arrive the raphe pterygomancibularis.The donate site is directly closed primarily.There is no need for secondary pedicle division.Results From July 2003 to April 2013,14 cases with large vermilion defects was reconstructed with this method.No flap necrosis occurred with primary healing.5 cases were followed up with an average follow up period of 1 year(0.5-3years).The apprearance and function of the reconstructed vermilion were satisfactory without any apparent donor site defect.The patients were satisfied with both the functional and cosmetic results.Conclusion The buccinator myomucosal flap is a simple and ideal method for reconstruction of large vermilion defects,especially for the defects closed to the commisure.