CAJ | 학술논문

目的：探讨局部皮瓣在唇缺损中的应用，为不同类型的唇缺损提供修复方案。方法：对2011年以来采用不同局部皮瓣修复的49例唇缺损病例进行回顾性分析，49例患者根据唇缺损创面的部位、大小等具体情况，分别选择A-T皮瓣、V-Y推进皮瓣、直接拉拢缝合并Z改形、唇复合组织瓣、交唇皮瓣、双蒂下唇滑行粘膜瓣，同侧唇颊部旋转皮瓣等方式修复。结果：41例患者皮瓣全部成活，术后口唇外观及功能恢复较好，效果满意。结论：针对各种原因引起的口唇缺损，应根据创面的部位、大小等具体情况选择适宜的皮瓣修复，以期取得满意的术后效果。
목적：탐토국부피판재진결손중적응용，위불동류형적진결손제공수복방안。방법：대2011년이래채용불동국부피판수복적49례진결손병례진행회고성분석，49례환자근거진결손창면적부위、대소등구체정황，분별선택A-T피판、V-Y추진피판、직접랍롱봉합병Z개형、진복합조직판、교진피판、쌍체하진활행점막판，동측진협부선전피판등방식수복。결과：41례환자피판전부성활，술후구진외관급공능회복교호，효과만의。결론：침대각충원인인기적구진결손，응근거창면적부위、대소등구체정황선택괄의적피판수복，이기취득만의적술후효과。
Objective To study the application of local flap in reconstruction of lip tissue defects,and offer solutions for different types of lip tissue defects. Methods Forty-nine patients who received local flap reconstruction of lip tissue were analised since 2011 in our hospital,According to the different location and shape of tissue depects,different local flaps were choosed including A-T flap, V-Y advanced flap,Direct suture combined Z plasty,lip compound flaps,cross-lip flaps,inferior labial musculo mucosal double-pedicle flap,unilateral labial-buccat rotating flaps. Results All flaps survived well without any obvious complications.The appearance and function were satisfactary. Conclusion According to the size,shape,location of the defects,different local flaps were designed to repair the defects and satisfactory results could be obtained.