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局部皮瓣與游離皮瓣在下唇重建之應用-二病例報告

Application of Regional Flap or Free Flap in Lower Lip Reconstruction-Report of Two Cases

摘要


口腔癌患者接受廣泛性切除手術之後,根據切除區域的範圍,經常需要接受程度不等的重建過程。重建的方式很多,如何做出對患者來說最適當的選擇,已然成為手術醫師的重要任務。由於口腔負責咀嚼、發音等精細動作,當缺損範圍牽涉到口腔尤其是唇部區域時,其複雜性及挑戰性將更上一層樓。根據缺損的範圍及位置,手術醫師可選擇局部皮瓣或游離皮瓣,以達到恢復患者功能與美觀等目的。本文章以案例報告與文獻回顧之方式,探討局部皮瓣或游離皮瓣對於唇部重建之應用。

並列摘要


For patients who underwent wide excision, depending on the extent of the reconstruction area, they often need to receive reconstruction procedures. There are many reconstruction modalities. How to make the best choice for the patient has become an important task for the surgeons. Since the oral cavity plays part in delicate movements such as chewing and pronunciation, when the oral cavity is involved, especially the lip area, the complexity and challenge of reconstruction would be even higher. According to the extent and location of the defect, the surgeon can choose regional flaps or free flaps to meet the patient's functional and esthetic concern. In this article we discuss the application of regional flaps and free flaps for lip reconstruction based on case reports and literature review.

並列關鍵字

Free flap Regional flap Nasolabial flap

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