CAJ | 학술논문

目的：通过报道恶性增生性外毛根鞘瘤( malignant proliferating trichilemmal tumor，MPTT )患者1例，同时行文献回顾和相关讨论，以提升对其诊疗方法、病理特点的认识水平。探讨下唇缺损的修复方法，并评价应用鼻唇沟瓣修复下唇缺损的临床应用。方法：对2011年收治的1例下唇肿物6年患者，于2011年6月全麻下行下唇肿物扩大切除术+左鼻唇沟瓣修复术+右颊黏膜旋转瓣修复术。结果：随访3年未见肿瘤复发或转移，重建后的下唇外形及功能恢复，临床效果满意。结论：鼻唇沟皮瓣有转移灵活、血运丰富及成活率高等优点，对于修复口腔颌面部肿瘤术后的缺损在美观和功能方面能达到良好的治疗效果。
목적：통과보도악성증생성외모근초류( malignant proliferating trichilemmal tumor，MPTT )환자1례，동시행문헌회고화상관토론，이제승대기진료방법、병리특점적인식수평。탐토하진결손적수복방법，병평개응용비진구판수복하진결손적림상응용。방법：대2011년수치적1례하진종물6년환자，우2011년6월전마하행하진종물확대절제술+좌비진구판수복술+우협점막선전판수복술。결과：수방3년미견종류복발혹전이，중건후적하진외형급공능회복，림상효과만의。결론：비진구피판유전이령활、혈운봉부급성활솔고등우점，대우수복구강합면부종류술후적결손재미관화공능방면능체도량호적치료효과。
Objective Through the report 1 patient of malignant proliferating trichilemmal tumor (malignant proliferating trichilemmal tumor,MPTT),literature review and discussion,in order to improve the level of understanding of the pathological features of its diagnosis and treatment methods.To explore the methods of treatment of lower lip defect,clinical application and evaluation of lower lip sulcus flap repair of nasal defects. Methods One case with lower lip tumor patient in June 2011, anesthesia of lower lip tumor excision+left nasolabial flap repair+right buccal mucosa rotation flap repair. Results 3 years of follow-up showed no recurrence or metastasis,lower lip contour and function recovery after the reconstruction,the clinical results are satisfactory. Conclusion The nasolabial flap in a flexible transfer,abundant blood supply and high survival rate,for the repair of defect after resection of oral and maxillofacial tumors can reach good therapeutic effect in appearance and function.