Estlander瓣修复下唇癌切除后口角区大部分缺损的临床观察  

Estlander flap for large defects of lower lip with oral commissure to reconstruct the lower lip cancer

作　　者：石明娟[1] 黄硕[2] 高岭[2] 张军[3] 郅克谦[2] 

机构地区：[1]西安医学院口腔系,陕西西安710021 [2]西安交通大学医学院附属口腔医院口腔颌面外科 [3]陕西省人民医院口腔科

出　　处：《中国美容医学》2010年第10期1479-1480,共2页Chinese Journal of Aesthetic Medicine

基　　金：陕西省科技攻关项目[2009K17-03];西安市科技计划[SF09030(4);陕西省教育厅科学计划研究项目[09JK712]

摘　　要：目的:回顾分析采用Estlander瓣法修复下唇口角区大范围缺损的病例,并进行总结。方法:我院颌面外科2006～2009年5例(男4例,女1例)下唇鳞状细胞癌位于口角区患者,年龄50～63岁。采用Estlander瓣法进行修复,术后观察其形态和功能恢复状况。结果:5例患者皮瓣全部成活且预后良好,术后均未出现静脉回流受阻、流涎等并发症。唇部在3个月后恢复感觉,6个月内恢复收缩功能。口角区的对称性在行二期口角开大术后能够维持美观满意度的标准。结论:Estlander瓣用于修复下唇口角1/3～1/2缺损能够达到满意的临床修复效果。Objective By reviewing the cases with large defects of lower lip with oral commissure reconstructed by the method of Estlander flap, to analysis and summary. Methods The study reviews the surgical outcome of 5 patients with invasive tumors at, or extending to, the lower lip, treated at the Xi＇an Jiaotong University - Surgical Oral Oncdogy Department, from 2006 to 2009. 4 males, 1 female, aged between 50 to 63.The technique used for lip reconstruction was Estlander flap. Observing the morphological and functional recovery. Results All the flaps are alive and the site healed well. All the cases there were no complications such as venous return disturbance or sialorrhea. Sensation returned within 3 months, and contraction of the lips appeared within 6 months.The symmetry of oral commissures was maintained after the second procedure and the appearance was almost cosmetically satisfactory. Conclusion To reconstruct the defects between 1/3-2/3 of lower lip with oral commissure by the Estlander flap can achieve satisfactory clinical results.

关 键 词：下唇癌 口角缺损 Estlander瓣 临床疗效 

分 类 号：R782[医药卫生—口腔医学]