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唇是位于面部中心的结构,任何畸形都引人注目。目前用于整复唇红缺损的方法有多种,小范围缺损可采用局部组织,如双V-Y瓣,双钟摆型瓣,唇颊沟粘膜瓣及舌瓣予以修复。对于累及粘膜和肌肉的较大缺损,可采用带蒂(单蒂或双蒂)下唇瓣进行整复,还可以唇红Abbe瓣整复,而最好的方法或许是应用唇红组织覆盖唇红缺损。1979年,Kawamoto对Gillies和Millard的方法进行了改进,以一侧唇部制作带蒂唇红瓣,但为了保持供区唇的对称,另一侧需切除同样大小的唇红组织,因而不适于下唇较薄的患者。作者设计并应用全下唇唇红瓣,克服了上述缺点。 手术方法 修整唇红缺损创缘,沿上唇上缘作横行切口,在下唇按缺损宽度的一半设计唇红瓣,长度为下唇全长。翻起同侧唇红瓣,向上转至上唇缺损,与缺
The lip is the center of the face structure, any deformity is compelling. At present, there are many methods for the restoration of lip-red defect. Small-scale defects can be repaired by using local tissues such as double V-Y, double pendulum, lip and buccal mucosa and flap. For larger lesions involving the mucous membranes and muscles, pedicled (single pedicled or double pedicled) lower lip may be used for reconstructing, and lip beige Abbe flap may be used for reconstructing, and the best method may be to apply lip red tissue to cover lips Red defect. In 1979, Kawamoto improved Gillies and Millard's method to make pedicled lip red lip on one side, but in order to maintain the symmetry of the donor lip and remove the same size of lip red tissue on the other side, Kawamoto was not suitable Lower lip thin patients. The author designed and applied the entire lower lip red flap to overcome the above shortcomings. Surgical repair lip lip defect edge, along the upper edge of the upper lip for transverse incision, in the lower lip by half the width of the defect design lip red flap, the length of the lower lip full length. Flip ipsilateral lip red flap, up to the upper lip defect, and missing