以雙側鼻唇皮瓣重建全下唇缺損

Bilateral Nasolabial Flaps for Reconstruction of the Total Lower Lip after Cancer Surgery

李正喆(Jang-Jaer Lee) ； 郭生與(Sang-Heng Kok) ； 陳信銘(Hsin-Ming Chen) ； 林長春(Chiang-Chuen Lin) ； 韓良俊(Liang-Jiunn Hahn)

《中華民國口腔顎面外科學會雜誌》 9卷2期 (1998/09) Pp. 59-67

https://doi.org/10.7104/CJOMS.199809.0059

摘要

唇部在人體咀嚼、發音、面部表情及顔面美觀上扮演重要角色，因此唇部缺損在頭頸部區域的重建中較爲特殊，也需較多的考量；而以頰部組織構成的局部皮瓣，由於鄰近唇部缺損區，因此可考慮做爲重建的選擇。本文報告一例下唇部鱗狀細胞癌病例，接受手術切除後，全下唇全層缺損以下部爲底的雙側旋轉性全層鼻唇皮瓣重建，結果發現此皮瓣設計無論在功能、美觀及取皮瓣的方便性上都具有很好的結果，是一值得推薦的重建方法。

關鍵字

鼻唇皮瓣 ； 唇部重建 ； 唇癌

並列摘要

The lips play important roles in chewing, articulation, facial expression and esthetics. Therefore, repair of lip defects requires special considerations. Because of the proximity to the lip defect, local flaps based on buccal tissue can be used for the reconstruction. In this report, a squamous cell carcinoma of the lower lip was excised and then repaired. The full thickness defect of the entire lower lop following tumor excision was reconstructed with bilateral inferiorly based rotational nasolabial flaps. This method was found to be excellent in their ability to restore function and esthetics of the lower lip and also relatively simple in technique. Therefore, we considered this method a valuable technique in reconstruction of such large lower lip defect.