改良唇颊扇形瓣修复下唇癌缺损的临床效果  

Effects of modified lip and cheek fan-shaped flap in repairing the defect after lower lip cancer resection

作　　者：苑绪光 李天竹[1] 朱骏飞 马俐丽[1] 金鑫[1] 张晔[1] Yuan Xuguang;Li Tianzhu;Zhu Junfei;Ma Lili;Jin Xin;Zhang Ye(Department of Oral and Maxillofacial Surgery, China-Japan Friendship Hospital, Beijing 100029, China)

机构地区：[1]中日友好医院口腔颌面外科,北京

出　　处：《中华医学美学美容杂志》2019年第3期221-223,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的观察下唇癌扩大切除术后应用改良唇颊扇形瓣修复缺损的效果。方法2013年10月至2017年11月,北京中日友好医院口腔颌面外科收集下唇癌患者6例,肿瘤边缘外1 cm手术,扩大切除后缺损约下唇1/3~1/2,采用改良唇颊扇形瓣修复缺损,术后3~36个月复查修复下唇癌缺损的形态和功能情况。结果6例患者伤口均一期愈合,下唇形态和功能恢复良好,无并发症。结论对下唇缺损1/3~1/2患者采用改良唇颊扇形瓣是一种较理想的修复方法。Objective To observe the clinical effect of repairing the defect after extended resection of lower lip cancer by modified lip and cheek fan-shaped flap. Methods Six cases of lower lip cancer were treated. The defect of the lower lip was about 1/3-1/2 after 1 cm of enlarged resection outside the margin of the mass. The defect was repaired with modified lip and cheek fan-shaped flaps. The morphology and function were observed 3-36 months after operation. Results All patients healed in one stage, and the shape and function of lower lip recovered well without complications. Conclusions Lower lip defect about 1/3-1/2 of patients with modified lip and cheek fan-shaped flap is an ideal method of restoration and reconstruction, with satisfactory results after surgery.

关 键 词：唇 癌 缺损 改良唇颊扇形瓣 修复重建 

分 类 号：R739.8[医药卫生—肿瘤]