上唇红唇缺损畸形修复手术方法的选择  

Selection of surgical methods for upper vermilion defect repair

作　　者：孙恒赟 赵延勇[1] 蒋海越[1] 何乐人[1] 张培超[2] 

机构地区：[1]中国医学科学院北京协和医学院整形外科医院整形七科,北京100144 [2]德州市人民医院烧伤整形外科,山东德州253000

出　　处：《中国美容整形外科杂志》2017年第5期291-294,共4页Chinese Journal of Aesthetic and Plastic Surgery

基　　金：首都临床特色应用研究(Z151100004015);北京市自然科学基金(7174343);北京协和肯年基金(33320140097);院所基金青年创新项目(Q2015012);高等学校博士学科点专项科研基金新教师类(20131106120016)

摘　　要：目的探讨口轮匝肌/颊肌黏膜瓣在一期修复上唇红唇缺损畸形中的应用效果。方法根据红唇缺损部位及面积,在颊部设计蒂在口角内侧的颊肌黏膜瓣,或在下唇红唇设计蒂在口角内侧的红唇口轮匝肌黏膜瓣,深达肌肉浅层,通过局部旋转的方法一期修复上唇红唇缺损,供区直接缝合,重建红唇正常形态和功能。结果本组共16例患者,术后随访6~24个月。术后红唇形态饱满对称,口角无破坏,无开闭口功能障碍,供区瘢痕不明显。结论采用颊肌/红唇口轮匝肌黏膜瓣修复红唇缺损,血运可靠、操作简单、治疗周期短,可以根据患者具体特点选择适合的手术方式。Objective To explore the application of musculi orbicularis oris/buccal mucosa flap in one-stage repair of upper vermilion defect.Methods According to the region and area of the vermilion defect,a musculi obicularis oris/buccal mucosa flap pedicled at the oral commissure was designed in the lower vermilion/cheek.The flap was placed deep to the superficial layer of the muscle,and then through local flap rotated to repair the upper vermilion defect.The donor site was directly sutured.The normal function and appearance of the upper lip was reconstructed.Results Sixteen cases were followed-up for 6 to 24 months.The appearance of the upper vermilion was plump and the symmetry was good.No angular destruction,opening or closing dysfunction,or severe donor site scar occurred.Conclusion The musculi obicularis oris/buccal mucosa flap offers a number of advantages,including adequate blood supply,easy manipulation,short treatment period and good patient tolerance.The appropriate surgical method should be chosen according to the specific condition.

关 键 词：红唇缺损 颊肌黏膜瓣 口轮匝肌黏膜瓣 一期修复 

分 类 号：R782.2[医药卫生—口腔医学]