利用血管化黏膜瓣和外部皮肤复合组织重建广泛的下唇缺损。

IF 4 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Oral oncology Pub Date : 2024-09-28 DOI:10.1016/j.oraloncology.2024.107056

Haosen Lian , Yufei Hua , Grace Paka Lubamba , Gaowei Zhang , Mingzhe Bao , Guanru Wang , Guile Zhao , Ning Gao , Bing Yan , Chunjie Li

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引用次数: 0

摘要

背景：唇部解剖的复杂性和唇部所扮演的角色使唇部缺损的重建更具挑战性。唇缺损的适当重建需要适应唇部粘膜、朱砂和皮肤的特征及其特定功能：方法：一名 59 岁男性左下唇癌患者接受了全层切除术和左侧选择性颈部切除术（SND），随后使用面部动脉粘膜岛状皮瓣（FAMMIF）和外部复合皮肤组织立即进行了重建：结果：使用基于 FAMMIF 及其外部皮肤组织的嵌合皮瓣，最大程度地减少了术后美学和功能障碍并存的问题。FAMMIF 适用于唇粘膜和唇朱砂的重建，而外部皮肤组织可用于替代唇外部皮肤缺损。患者对治疗效果感到满意。结论：结论：在本例唇癌切除术后继发唇部缺损的病例中，我们选择了外用皮肤复合组织 FAMMIF 作为重建方法，该方法结合了下唇美学和功能的重建。该技术可行，术后效果令人满意。

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Reconstruction of extensive lower lip defects using vascularized mucosal flap with external skin complex tissue

Background

The complexity of lip anatomy and the roles played by the lip make the reconstruction of lip defects more challenging. Adequate reconstruction of lip defects requires adaptation of mucosa, vermilion, and skin features in lip as well as its specific function.

Methods

A 59-year-old male with left lower lip cancer underwent en-bloc resection and left selective neck dissection (SND), followed by immediate reconstruction using Facial Artery Myomucosal Island Flap (FAMMIF) with external Skin Complex Tissue.

Results

The use of chimeric flap based on FAMMIF and its external skin tissue allowed minimizing the postoperative problem of combination of both aesthetic and functional impairments. The FAMMIF is suitable for the reconstruction of lip mucosa and lip vermilion, while the external skin tissue can be use to replace the external lip skin defect. The patient was satisfied with the treatment outcomes. He is undergoing follow-up without any evidence of recurrence.

Conclusion

FAMMIF with external skin complex tissue, as a reconstructive approach selected in our case of lip defect secondary to lip cancer resection, combined the reconstruction of both aesthetics and functions of the lower lip. The technique was found feasible and provided satisfactory postoperative outcomes.

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来源期刊

Oral oncology 医学-牙科与口腔外科

CiteScore

8.70

自引率

10.40%

发文量

505

审稿时长

20 days

期刊介绍： Oral Oncology is an international interdisciplinary journal which publishes high quality original research, clinical trials and review articles, editorials, and commentaries relating to the etiopathogenesis, epidemiology, prevention, clinical features, diagnosis, treatment and management of patients with neoplasms in the head and neck. Oral Oncology is of interest to head and neck surgeons, radiation and medical oncologists, maxillo-facial surgeons, oto-rhino-laryngologists, plastic surgeons, pathologists, scientists, oral medical specialists, special care dentists, dental care professionals, general dental practitioners, public health physicians, palliative care physicians, nurses, radiologists, radiographers, dieticians, occupational therapists, speech and language therapists, nutritionists, clinical and health psychologists and counselors, professionals in end of life care, as well as others interested in these fields.