CAJ | 학술논문

目的探讨一种蒂位于口角的下唇唇红复合组织瓣转移修复1/4上唇唇红缺损的再造方法,以避免传统交叉唇瓣转移后造成的进食、言语、口腔卫生等困难.方法手术分两期进行.一期手术将蒂部位于患侧口角的下唇动脉血管蒂携带的下唇唇红黏膜瓣转移至上唇半侧缺损处,远端部分唇红瓣去表皮后再造唇珠,供区直接关闭;二期手术将唇红瓣断蒂并进行局部修整.结果共治疗6例患者,一期手术后转移交叉唇红瓣血运良好;二期断蒂后唇红瓣完全存活.再造上唇丰满,基本对称,外形自然,口角形态未受破坏,供区瘢痕不明显.结论改良的交叉唇红瓣克服了传统蒂位于中央的交叉唇红瓣转移后给患者带来的诸多不便和痛苦,手术方法简单,血运可靠,术后外形和功能良好.
목적 탐토일충체위우구각적하진진홍복합조직판전이수복1/4상진진홍결손적재조방법,이피면전통교차진판전이후조성적진식、언어、구강위생등곤난.방법 수술분량기진행.일기수술장체부위우환측구각적하진동맥혈관체휴대적하진진홍점막판전이지상진반측결손처,원단부분진홍판거표피후재조진주,공구직접관폐;이기수술장진홍판단체병진행국부수정.결과 공치료6례환자,일기수술후전이교차진홍판혈운량호;이기단체후진홍판완전존활.재조상진봉만,기본대칭,외형자연,구각형태미수파배,공구반흔불명현.결론 개량적교차진홍판극복료전통체위우중앙적교차진홍판전이후급환자대래적제다불편화통고,수술방법간단,혈운가고,술후외형화공능량호.
Objective To investigate the reconstruction of 1/4 defect on upper-lip vermilion with a lower-lip vermilion compound tissue flap pedicled at oral commissure.Methords At the first stage,the lower lip mucosal flap pedicled by inferior labial artery was transposed to reconstruct the defect on upper lip vermilion and tubercle.The defect at the donor site was closed directly.At the second stage,the flap pedicle was cut off and revised.Results 6 patients were treated with satisfactory aesthetic results.All the flaps survived completely.The oral commissure kept normal with no obvious scar at the donor sites.Conclusions The modified crosslip vermilion flap pedicled at oral commissure has the advantages of avoiding inconvenience in feeding,speaking and cleaning.The procedure is simple with available blood supply.Both aesthetic and functional results are satisfactory.