Bernard瓣修复下唇癌术后缺损的临床观察  

Clinical observation of Bernard flap for repairing lower lip defects after cancer resection

作　　者：罗海林[1] 赵璐[2] 郅克谦[2] 高岭[2] 

机构地区：[1]汉中市中心医院耳鼻咽喉口腔科,陕西汉中723000 [2]西安交通大学医学院附属口腔医院颌面外科

出　　处：《中国美容医学》2010年第7期989-990,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨应用Bernard瓣修复下唇癌术后缺损的临床疗效。方法:对我院5例下唇癌患者分别行传统和改良的Bernard瓣即刻修复缺损,并进行术后随访观察其形态和功能恢复情况。结果:5例患者中3例应用传统的bernard瓣手术方法,2例使用改良的Bernard瓣修复。术后形态和功能恢复良好,无并发症发生。结论:Bernard瓣修复下唇癌术后1/2～2/3的缺损可取得满意效果。其中传统Bernard瓣主要适用于缺损更接近于1/2的病例,而改良的Bernard瓣主要用于缺损更接近于2/3的病例。Objective To talk over the therapeutic effect of Bernard flap in the reconstruction of lower lip defects after ablative surgery.Methods Five patients with carcinoma of the lower lip were underwent either classical methods of Bernard flap reconstruction or improved methods of Bernard flap reconstruction.Observing the morphological and functional recovery after follow-up.Results Classical methods of Bernard flap reconstruction were used on 3 patients.The other 2 patients were treated with Improved methods of Bernard flap reconstruction.The lip＇s recovery of the morphological and function was found to be satisfied in all cases.Conclusion Good results were obtained by using Bernard flap in the reconstruction of lower lip defects after ablative surgery for the defects 1/2～2/3 lip length;It was better to use classical methods of Bernard flap reconstruction when the defect was close to 1/2 lower lip length.If the defect was closer to 2/3,the improved methods of Bernard flap reconstruction would be better.

关 键 词：Bernard瓣 下唇癌 缺损 修复 

分 类 号：R782[医药卫生—口腔医学]