口腔医学研究

口腔医学研究 ›› 2020, Vol. 36 ›› Issue (8): 745-747.DOI: 10.13701/j.cnki.kqyxyj.2020.08.010

• 口腔颌面外科学研究 • 上一篇    下一篇

颊部滑行推进瓣修复大型上唇缺损的回顾性分析

张森林, 魏斌, 梁彤欣, 钱浩亮, 陈必新*   

  1. 南京医科大学附属江宁医院口腔科 江苏 南京 211100
  • 收稿日期:2019-11-13 出版日期:2020-08-28 发布日期:2020-08-18
  • 通讯作者: *陈必新,E-mail:1345226970@qq.com
  • 作者简介:张森林(1965~ ),男,安徽人,博士,主任医师,主要从事口腔颌面外科的临床和科研工作。

Sliding Advancement Cheek Flap for Reconstruction of Large Upper Lip Defects after Ablative Surgery: A Retrospective Study

ZHANG Senlin, WEI Bin, LIANG Tongxin, QIAN Haoliang, CHEN Bixin*   

  1. Department of Stomatology, Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing 211100, China
  • Received:2019-11-13 Online:2020-08-28 Published:2020-08-18

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摘要： 目的: 评价颊部滑行推进瓣修复大型上唇缺损的临床效果。方法: 回顾性分析2016年3月~2018年6月我科收治的5例上唇鳞癌患者的临床资料。所有患者均进行上唇肿瘤扩大切除,遗留的大型上唇缺损采用颊部滑行推进瓣修复,随访术后唇部外形和功能恢复情况及肿瘤复发情况。结果: 5例患者年龄52~76岁,上唇缺损大小为上唇全长的65%~85%,修复术后唇部外形恢复良好,无张口受限,上唇运动功能恢复良好,语言清晰,进食正常,患者满意。随访6~24个月,无肿瘤复发或转移。结论: 颊部滑行推进瓣是大型上唇缺损较理想的修复组织瓣。

关键词: 上唇缺损, 唇修复, 颊部滑行推进瓣

Abstract: Objective: To evaluate the efficiency of sliding advancement cheek flaps in the reconstruction of large upper lip defects. Methods: Data concerning the size of the defects and the reconstructive procedure used were evaluated in five patients, as well as postoperative complications and outcomes. Results: Five patients underwent the sliding advancement cheek flap reconstruction were in the range of 52 to 76 years old. The upper lip defects ranged from 65% to 85% of the total upper lip length. No flap failed, and both excellent aesthetic and functional results were obtained. All the patients had a satisfactory oral competence, without microstomia, after 6-24 months follow up. Conclusion: The sliding advancement cheek flaps is a reliable technique that offers consistently good functional and esthetic outcomes after reconstruction of the large upper lip defects.

Key words: upper lip defect, lip reconstruction, sliding advancement cheek flap