口轮匝肌为蒂肌黏膜瓣在唇癌切除术后缺损修复中的应用

发布时间：2018-05-31 00:23

  本文选题：口轮匝肌黏膜瓣 + 唇癌　； 参考：《中国皮肤性病学杂志》2017年07期

【摘要】：目的探讨口轮匝肌为蒂肌黏膜瓣在唇癌切除术后创面修复中的应用。方法切除肿物,根据缺损的大小逆行设计蒂在同侧的口轮匝肌黏膜瓣180°旋转修复创面缺损。结果唇部肿物扩大切除术后,黏膜缺损最大面积约4.0cm×1.0cm,设计口轮匝肌为蒂肌黏膜瓣修复缺损,肌黏膜瓣全部存活,随访3~12个月,肌黏膜瓣存活良好,与邻近唇黏膜无明显色差,且无明显并发症。结论肿瘤切除致唇部组织缺损达到1/3~1/2唇黏膜时,与Abbe瓣相比,以口轮匝肌为蒂肌黏膜瓣修复唇部缺损,术后不需二期断蒂,供区切口隐蔽,术后功能及外观满意,是唇缺损修复的一种新方法,值得临床应用。
[Abstract]:Objective to investigate the application of orbicularis oris musculocutaneous flap in wound repair after lip cancer resection. Methods the tumor was resected and the pedicle was designed retrograde according to the size of defect. The flap of orbicularis oris muscularis oris was rotated 180 掳to repair the wound defect. Results the maximum area of mucosal defect was about 4.0cm 脳 1.0 cm after extensive resection of labial mass. The flap of orbicularis oris muscle pedicled with muscle mucosa was designed to repair the defect, and all the musculomucosal flaps survived. Follow up for 3 ~ 12 months showed that the mucosal flap survived well and had no significant color difference from that of adjacent labial mucosa. There were no obvious complications. Conclusion when the lip tissue defect is 1 / 3 / 1 / 2 after tumor resection, compared with the Abbe flap, the orbicularis oris muscle pedicled musculomucosal flap is used to repair the lip defect. There is no need for secondary pedicle break, the donor incision is hidden, and the function and appearance of the flap are satisfactory. It is a new method to repair lip defect and is worthy of clinical application.
【作者单位】： 西安交通大学第二附属医院皮肤科;
【基金】：院重大科研方向资助计划[RC(CG)201204]
【分类号】：R739.8;R782.2
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本文编号：1957485