以單側或雙側鼻唇皮瓣重建下唇全層缺損－二病例報告

Reconstruction of Lower Lip with Unilateral or Bilateral Nasolabial Flap-Report of Two Cases

楊方瑜(Fang-Yu Yang) ； 郭生興(Sang-Heng Kok) ； 李正喆(Jang-Jaer Lee)

《臺灣口腔顎面外科學會雜誌》 20卷4期 (2009/12) Pp. 256-262

https://doi.org/10.7104/TJOMS.200912.0256

摘要

下唇癌全層切除後，缺損的重建是臨床醫師很大的挑戰。以游離皮瓣重建常顯體積過大，且耗時較久，並有皮瓣壞死之風險。局部皮瓣，如Abbe-Estlander皮瓣，常無法用於全下唇切除重建，且常造成術後嘴巴口徑變小。鼻唇皮瓣因其解剖位置鄰近下唇、供血豐富、可靠性佳、操作簡單，以及皮瓣顏色與週圍組織相近等考量，可做爲下唇缺損重建之很好選擇。本報告將提出單側與雙側鼻唇皮瓣應用於下唇重建病例各一例，並討論鼻唇皮瓣之解剖構造及臨床應用。

關鍵字

鼻唇皮瓣 ； 下唇全層切除 ； 全下唇切除重建

並列摘要

Reconstruction of large defects of the lower lip is difficult to achieve the goals of rehabilitation of both function and esthetics. The final appearance of the lip should be symmetry, and the color of the flap should be resemble to the near by tissue. The function of the lips should be rehabbed to achieve lip competence, and enough depth of gingival sulcus for denture wearing. The nasolabial flap can be widely used to reconstruct the facial defects like nasal alar, f1oor of mouth, and both upper and lower lips. The advantages of the nasolabial flap are the anatomic location, which is nearby the defect area, the color of the flap, and the continuity with the surrounding tissue. The nasolabial flap also has sufficient blood supply so the success rate of reconstruction with nasolabial flap is quite high. In this study, we present two cases of nasolabial flap reconstruction for unilateral and bilateral lower lip defect.

並列關鍵字

nasolabial flap ； total lip resection ； lower lip reconstruction