红唇轴型复合组织瓣Ⅰ期修复对位红唇缺损  

Primary reconstruction of vermilion defect with axial pattern composite tissue flap

作　　者：杨晓楠 靳小雷 祁佐良 刘新海 宗宪磊 都乐 宋国栋 

机构地区：[1]中国医学科学院整形外科医院整形十六科,北京100144

出　　处：《中国美容整形外科杂志》2016年第6期352-354,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨红唇轴型复合组织瓣Ⅰ期修复口裂对应部位红唇缺损畸形的临床效果。方法根据患者红唇缺损量及双唇厚度差,设计正常上、下唇厚唇修薄的手术切口,切取蒂位于口角内侧、含有唇动脉的红唇复合组织瓣,转位修复红唇缺损。结果本组共9例患者,所有轴型复合组织瓣完全成活;再造红唇丰满,对称性良好,形态自然,口角结构无破坏,供区瘢痕不明显。结论该方法简便,治疗周期短,不影响口角形态,有效地规避了传统交叉唇瓣转移后给患者带来的不便和痛苦。Objective To discuss the effect of axial pattern composite tissue flap on the primary reconstruction of vermilion defect.Methods According to the size of vermilion defect and the difference of the two-lip thickness,the axial pattern composite tissue flap pedieled with labial artery in oral commissure was designed and transposed to reconstruct simple lip defect.The defect at the donor site was closed directly.Results Nine patients were treated with satisfactory aesthetic results.All the flaps survived completely.The characters and color of reconstructed lips were similar to normal ones.The oral commissure kept normal without obvious scar at the donor sites.Conclusion The method of repair of vermilion defect with axial pattern composite flap is simple with short treatment cycle and without an effect of oral angle,further more avoiding inconvenience in feeding,speaking and cleaning like the traditional method.

关 键 词：红唇缺损 唇动脉 交叉唇瓣 复合组织瓣 

分 类 号：R782.2[医药卫生—口腔医学]