筋膜悬吊联合前臂皮瓣修复唇或口角缺损10例报道  

Reconstruction of total lower lip or corner of mouth defects with forearm free flap suspending over fascia: Report of 10 cases

作　　者：胡永杰[1] 曲行舟[1] 李思毅[1] 徐立群[1] A.Hardianto 张陈平[1] 

机构地区：[1]上海第二医科大学附属第九医人民学医院口腔医学院口腔颌面外科,上海200011

出　　处：《上海口腔医学》2005年第2期117-119,共3页Shanghai Journal of Stomatology

摘　　要：目的:评价筋膜悬吊联合前臂皮瓣修复唇或口角缺损的形态和功能效果。方法:自2001年以来选择10例唇部和口角缺损病例,按照唇部和口角的缺损范围设计前臂皮瓣,皮瓣与受区行血管吻合,依照缺损长度取大腿阔筋膜或掌长肌腱,在折叠皮瓣内面行筋膜悬吊,将筋膜分别与失去连续性的口轮匝肌和颊肌对位缝合,从而使皮瓣拥有良好的外形,并恢复部分唇部及口角的功能。结果:前臂皮瓣辅助筋膜悬吊后,随访2a以上,皮瓣100%成活,2例患者有轻度的唇部及口角闭合不全,其他患者口角修复外形、发音、咀嚼等基本正常,并可以辅助完成一定的表情功能。结论:采用筋膜悬吊联合前臂皮瓣修复唇或口角缺损,在形态和功能恢复方面有一定优势。PURPOSE: To improve the contour and function of the lip and its commissure with forearm free flap suspending over fascia. METHODS: Since 2001,this method was used in 10 cases. Forearm free flap was designed according to the lip or buccal defects, then the defects were reconstructed with the flap through vascular anastomosis. The skin island for reconstruction of the intraoral lining and the skin defect was folded over the palmaris longus tendon or fascia lata. RESULTS: All the patients were followed-up for 2 years, the survival rate of the free flap was 100%,2 patients had oral incompetence, the others had good oral function and sufficient oral competence. The flaps were helpful to expression of motion. CONCLUSION: Reconstruction of total lower lip or corner of mouth defects with forearm free flap suspending over fascia was helpful for rehabilitation of contour and oral function.

关 键 词：筋膜 前臂皮瓣 唇部缺损 

分 类 号：R782.2[医药卫生—口腔医学]