唇珠重建术的探讨  

Searching for reconstruction of the central vermillion tubercle

作　　者：王勇丁 邵文辉[1] 蒲兴旺 陈远琨 王莹莹[1] 萧庆昌[1] 

机构地区：[1]四川西婵整形美容医院,四川成都610041

出　　处：《中国美容医学》2010年第2期195-197,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨一种简便的唇珠重建方法。方法:在上唇口内近边缘处作倒V形切开,应用V-Y改形原理,将皮瓣往唇缘处推进,加上唇系带二侧旋转瓣相嵌缝合,重建唇珠。结果:皮瓣血运、存活良好,重建唇珠外形满意,表面看不到瘢痕,是一种简单、方便、理想的唇珠重建方法。随访3～15个月,平均12个月,皮瓣质地优良,瘢痕不明显,无挛缩,唇形生动自然,立体感强。远期效果满意。结论:运用V-Y改形术加上唇系带二侧旋转瓣相嵌缝合术是进行唇珠重建的理想术式。手术设计及操作简便,皮瓣血运可靠,能理想地重建缺损的唇珠,术后不挛缩,瘢痕不明显,远期效果可靠。Objective Searching for a new surgical technique in reconstruction of the central vermillion tubercle. Methods After making a V-shaped incision on the oral-wet vermillion-mucosal aspect of the upper lip,we lift the flap and extend the frenulum,coupled with phase filleting of the two sides of labial frenum＇s rotation flap,the lip tubercle then could be obtained by V-to-Y closure of the incision. Results The flaps had a good blood circulation and the patient showed a natural contour of the lip.This new proceture is an easy technique of the reconstruction of the lip tubercle.The average follow-up was 1 year. the flap was in good condition,the scarring was inconspicious,the results were found to be longlasting at later term. Conclusion It is the ideal surgical reconstruction of the central vermillion tubercle to reshape V-to-Y coupled with phase filleting of the two sides of labial frenum＇s rotation flap.The V-to-Y plasty plus the extention of the frenulum is a very easygoing and adjustable technique to reshape the lip tubercle. This new procedure is easy to perform and also has a good survival of the graft,could be an ideal technique in reconstruction of the central vermillion tubercle.There was no obvious scarring nor granuloma formation, the long-term results are reliable.

关 键 词：上唇系带 V-Y改形 唇珠重建 

分 类 号：R782[医药卫生—口腔医学]