改良Gillies扇形组织瓣在下唇中重度全厚缺损修复与功能重建中的应用  

Application of Modified Gillies Fan Flap in Repair and Functional Reconstruction of Moderate-severe Full-thickness Lower Lip Defects

作　　者：邹璇 路荣建 初晓阳 杨利利 于开涛 ZOU Xuan;LU Rong-jian;CHU Xiao-yang;YANG Li-li;YU Kai-tao(Department of Stomatology,the Fifth Medical Center of Chinese PLA General Hospital,Beijing 100071,China)

机构地区：[1]解放军总医院第五医学中心南院区口腔科,北京100071

出　　处：《中国美容医学》2021年第5期66-70,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探索改良Gillies扇形全厚组织瓣在下唇中重度缺损修复与功能重建中的应用,规范手术设计与方法,总结临床矫治经验。方法:对2008年1月-2019年12月笔者科室收治的15例下唇中重度缺损患者采用改良Gillies扇形全厚组织瓣进行修复与重建,提出了获得性唇缺损畸形的分类,规范了手术设计与手术方法。结果:15例中重度下唇缺损的患者,用单侧改良Gillies扇形全厚组织瓣修复唇缺损12例,双侧改良Gillies扇形全厚组织瓣修复唇缺损3例,重建了口轮匝肌的连续性,获得了理想的唇外形及功能。结论:改良Gillies扇形全厚组织瓣手术设计与手术方法规范,临床病例证实改良Gillies扇形全厚组织瓣修复下唇中重度缺损,能获得良好的唇外形及运动功能,有重要的临床应用价值。Objective To explore the application of the modified Gillies full-thickness fan flap technique for the repair and functional reconstruction of moderate-severe lower lip defects,and to regulate the surgical design and methods as well as to summarize the experience of clinical correction.Methods From January 2008 to December 2019,a total of 15 cases with moderate-severe lower lip defects receiving repair and reconstruction with modified Gillies full-thickness fan flaps were included in this study.The classification of acquired lip defects and deformities was proposed,and the surgical design and methods were regulated.Results Among the 15 cases with moderate-severe lower lip defects,repair using unilateral modified Gillies full-thickness fan flap was performed in 12 cases,and bilateral modified Gillies full-thickness fan flap was performed in three cases.The continuity of the orbicularis oris muscles was restored,and ideal lip appearance and functions were obtained.Conclusion The surgical design and methods for modified Gillies full-thickness fan flap were regulated.The clinical cases confirm that treatment of moderate-severe lip defects with modified Gillies full-thickness fan flap tends to achieve good lip appearance and motor functions,which is of significant value for clinical application.

关 键 词：唇缺损 改良扇形组织瓣 修复 功能性重建 

分 类 号：R782.25[医药卫生—口腔医学]