A Modified Zitelli Bilobed Flap for Esthetic Repair in an Oral Commissure Defect Patient- A Case Report

以改良式Zitelli Bilobed皮瓣修復口角缺陷－病例報告

江天恩(Tien-En Chiang) ； 黃正一(Zheng-Yi Huang) ； 林志恭(Chi-Kung Lin) ； 謝義興(Yi-Shing Shieh) ； 王宜斌(Yi-Bing Wang) ； 陳元武(Yuan-Wu Chen)

《中華民國家庭牙醫學雜誌》 10卷4期 (2016/03) Pp. 36-41

https://doi.org/10.6566/JFD/2016.10(4).36

摘要

由於嘴唇和口角關鍵區域的複雜解剖構造，以外科介入修補極有挑戰難度。這些缺陷可能源自於腫瘤切除手術，外傷或燒傷後攣縮。直接縫合剩餘的組織，可用於小型外科缺陷；組織轉接、相鄰組織轉移和局部皮瓣則用於大外科缺陷。在此病例中，我們應用改良式Zitelli Biblobed皮瓣重建口角缺陷。其修補區域之組織顏色和質感皆與鄰近組織匹配，可將相鄰區域之較充足軟組織有效轉移到缺乏的區域，減少供給區之術後畸形，並保持口角的功能和美觀完整性。

關鍵字

口角缺損 ； 改良式Zitelli Bilobed皮瓣

並列摘要

Lip and oral commissure defects are a great challenge to surgeons due to the anatomical complexity of this crucial area. These defects may result from tumor excision, trauma or post-burn contractures. Primary closure of the wound by the remaining tissues can be used for small surgical defects. Tissue switch, neighboring tissue transfer, and local flaps can be used for large surgical defects. Here, we finished the reconstruction of an oral commissure defect using a modified Zitelli bilobed flap. The result seems to have provided both excellent color and texture, matches with adjacent tissues, effective transfer of adjacent skin and soft tissues from areas of abundance to areas of deficiency, and minimization of the donor site deformity while also, most importantly, maintaining the function and esthetic integrity of the oral commissure. We herein provide the treatment experience for clinical applications.

並列關鍵字

oral commissure defect ； modified Zitelli bilobed flap