应用下唇轴型复合组织瓣一期修复进行性半侧颜面萎缩继发上唇缺损畸形  

Upper-lip Vermilion Reconstruction with a Modified Pedicle Cross-Lip Vermilion Flap in Progressive Hemifacial Atrophy

作　　者：杨晓楠 崔海燕[2] 靳小雷 祁佐良 

机构地区：[1]中国医学科学院整形外科医院,北京市100144 [2]上海交通大学医学院附属第九人民医院虹梅路门诊部,上海市201103

出　　处：《组织工程与重建外科杂志》2016年第3期177-179,共3页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的探讨下唇轴型复合组织瓣一期修复进行性半侧颜面萎缩继发上唇畸形的方法及其临床效果。方法自2014年11月至2016年2月,对6例进行性半侧颜面萎缩继发上唇畸形患者,根据其上唇缺损量及双唇厚度差异,设计切取以下唇部动脉为蒂的复合组织瓣,一期转位修复上唇唇红部分缺失,重建口唇整体轮廓。结果本组所有复合组织瓣完全存活。术后随访3~12个月,再造上唇丰满,对称性佳,形态自然。口角结构无破坏,供区瘢痕不明显。结论本方法是对既往术式的进一步改进,有效规避了传统交叉唇红瓣转移后给患者带来的言语、进食、口腔卫生维持等方面的影响,具有方法简单、血运可靠、治疗周期短等优势,功能、美观兼备。Objective To discuss a new method of one-stage upper-lip vermilion reconstruction with a modified pedicle lower-lip compound tissue flap in progressive hemifacial atrophy. Methods From November 2014 to February 2016, 6cases with secondary upper-lip defect caused by progressive hemifacial atrophy were treated. According to the degree and size of upper-lip vermilion, lower-lip compound flap pedicled by inferior labial artery was transposed to reconstruct the defect on upper-lip vermilion in one stage. Results All the flaps survived completely. All the patients were followed up for3 to 12 months, satisfactory aesthetic results were achieved. The oral commissure kept normal with no obvious scar at the donor sites. Conclusion The improved method has the advantages of avoiding inconvenience in feeding, speaking and cleaning. The procedure is simple with available blood supply and short treatment duration. Both aesthetic and functional results are satisfactory.

关 键 词：唇红重建 交叉唇瓣 下唇动脉 进行性半侧颜面萎缩 

分 类 号：R622[医药卫生—整形外科]