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目的 :探讨利用局部皮瓣重建下唇缺损超过2/3的可能性。方法 :收集8例因肿瘤切除术后导致的下唇缺损,全部病例缺损均超过下唇的2/3,采用颊侧滑行皮瓣(Webster-Burnard瓣)修复白唇缺损,利用颊部黏膜外翻修复红唇;结果:8例患者无1例出现感染、伤口裂开和皮瓣坏死等局部并发症。随访1~2年,患者对外形及功能恢复满意,无明显的小口畸形和前庭沟变浅及涎液外流等状况。结论:利用改良的Webster-Burnard瓣重建大范围下唇缺损,可以得到满意的临床效果,值得临床推广使用。
Objective: To explore the possibility of reconstructing the lower lip defect by more than 2/3 by using local flap. Methods: Eight cases of lower lip defect caused by tumor resection were collected. All the cases were over 2/3 of the lower lip. Webster-Burnard flap was used to repair the white lip defect. The prosthesis was restored and the red lips were repaired. RESULTS: No one of 8 patients had any local complications such as infection, wound dehiscence and necrosis of the skin flap. Follow-up 1 to 2 years, the patient’s satisfaction with shape and function recovery, no significant small mouth deformity and shallow vestibular groove and salivary fluid flow and other conditions. Conclusion: The modified Webster-Burnard flap reconstruction of a wide range of lower lip defects, can be satisfied with the clinical effect, it is worth promoting the use of the clinic.