扩张后颏下皮瓣修复上唇部瘢痕的临床效果  

Repair of upper lip scar by expanded submental flap

作　　者：马显杰[1] 李杨[1] 李威扬[1] 崔江波[1] 刘恒鑫[1] 

机构地区：[1]第四军医大学西京医院整形外科,西安710032

出　　处：《中华医学美学美容杂志》2016年第4期212-214,共3页Chinese Journal of Medical Aesthetics and Cosmetology

基　　金：国家自然科学基金资助项目（81171826,81272117）

摘　　要：目的探讨上唇部病损切除后创面的修复方法及临床效果。方法应用扩张后颏下皮瓣带蒂转移，修复上唇部病损切除后创面。在下颌骨下缘1．0cm处，远离中线，设计3．0cm长切口，在颈阔肌下层放置100ml扩张器，注射阀门外置，注液扩张。扩张充分后，先将上唇、鼻底瘢痕切除，松解上唇及鼻底的挛缩，使鼻小柱、上唇等恢复到正常解剖位置，依创面大小设计扩张后颏下皮瓣带蒂转移，修复上唇病损切除后创面，3周后断蒂。结果5例均采用扩张后颏下皮瓣带蒂转移，修复上唇病损切除后创面，术后皮瓣无血运障碍，修复效果良好。结论扩张后颏下皮瓣是修复上唇病损切除后创面的好方法。Objective To discuss the repairing methods of the wound after upper lip lesion excision. Methods The wound after upper lip lesion excision was repaired by expanded pedicled submental flap. The 3 cm-long incision was located in 1 cm to sub-mandible. The 100 ml expander was placed beneath the platysma, and the aqueducts and spigots of the expanders were laid out of the skin. After complete expansion, the spastic scars of the upper lip and nasal bottom were resolved, the nasal columella and upper lip were put back to the normal position. The pedicled submental flap was transferred to the wound after upperlip excision according to the size of the wound. The pediele was severed after 3 weeks. Results There were 5 cases of the expanded pedicled submental flap to repair the wound after upper lip excision. The flap survived without complications. The appearances were satisfied by the patients. Conclusions The method of the expanded submental flap is suitable for the wound after upper lip excision.

关 键 词：颏下皮瓣 扩张术 上唇 瘢痕 

分 类 号：R622[医药卫生—整形外科]