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本文介绍一种使用双侧肩胸皮瓣重建下唇的技术,适用于下唇癌切除的同时立即整复。作者报告的5例下唇切除范围平均为20平方厘米,包括两侧口角及部分或全部下颌骨前部骨质。手术方法1.采用Bakamjians方法准备不需延迟的肩胸皮瓣,皮瓣的远端超过肩峰约2—3厘米处,皮瓣外侧缘沿三角肌肩部曲线。2.在皮瓣的远段1/3与中段1/3处折叠,其运段1/3构成下唇的口腔面,中段1/3皮瓣
This article describes a technique to reconstruct the lower lip using a bilateral shoulder and chest flap, which is suitable for immediate resection of the lower lip cancer at the same time. The authors report an average of 5 cases of lower lip resection range of 20 square centimeters, including both sides of the mouth and part or all of the mandible anterior bone. Surgical Procedures 1. The Bakamjians method was used to prepare a shoulder-chest flap without delay. The distal end of the flap was about 2-3 cm above the shoulder and the lateral margin of the flap curve along the deltoid muscle. 2 in the distal flap 1/3 and the middle 1/3 fold, the transport section 1/3 of the lower lip of the oral surface, the middle 1/3 flap