改良旋转鼻唇沟皮瓣用于上唇缺损的亚单位修复  

Modified Nasolabial Rotation Flap in the Reconstruction of Upper Lateral Lip Subunit

作　　者：仇雅璟[1] 金云波[1] 林晓曦[1] 陈辉[1] 马刚[1] 杨希[1] 胡晓洁[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院整复外科,上海市200011

出　　处：《组织工程与重建外科杂志》2016年第5期300-301,共2页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的探索改良旋转鼻唇沟皮瓣用于上唇亚单位缺损修复的临床效果。方法自2013年6月至2015年10月,对10位病损位于上唇,范围大于所在上唇亚单位的50%,激光治疗无效或疤痕瘢痕形成的葡萄酒色斑/血管瘤患者,进行改良的旋转鼻唇沟皮瓣修复上唇亚单位缺损。结果所有鼻唇沟皮瓣均存活,未出现皮瓣尖端坏死,瘢痕均隐藏于鼻旁、鼻唇沟、鼻基底、人中嵴和上唇处,效果满意。结论利用改良的旋转鼻唇沟皮瓣可以从功能、美观两个方面进行上唇表浅组织缺损的亚单位修复,是一种理想且可靠的上唇修复方法。Objective To explore the clinical efficacy of modified nasolabial rotation flap in the reconstruction of upper lateral lip subunit. Methods Ten patients suffering from large treatment-resistent port wine stains or hemangiomas of upper lips were recruited, whose defect/upper lateral lip ration were more than 50 percent. Modified nasolabial rotation flaps were used to reconstruct the upper lateral lip subunit. Results All flaps were survived. No flap loss was noted. All scars were hidden into the borders of the upper lateral lip subunit and were outlined by the phihrum column, nostril sill, alar base and nasolabial fold. The results were satisfactory. Conclusion Modified nasolabial rotation flaps based on upper lateral lip subunits are reliable for reconstructing large, superficial defects of the upper lateral lip aesthetically and functionally.

关 键 词：改良旋转鼻唇沟皮瓣上唇缺损 亚单位 

分 类 号：R622[医药卫生—整形外科]