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目的:探讨口周肌黏膜瓣在红唇缺损修复中的临床效果。方法:根据红唇缺损部位及面积,在上、下唇及颊部设计肌黏膜瓣,长宽比例最大2.5:1,肌黏膜瓣取肌肉浅层,通过局部旋转、推进的方法修复红唇缺损,肌黏膜瓣转移后遗留的创面直接拉拢缝合。结果:25例患者实施口周黏膜瓣修复红唇缺损手术,肌黏膜瓣完全成活,成活率100%,修复后唇外形良好,无明显瘢痕,整形美容效果好。结论:该方法手术设计简单且易操作,以黏膜下肌肉蒂为主要血供,无需解剖血管蒂,是红唇缺损修复较为理想的方法。
Objective: To investigate the clinical effect of perioral musculocutaneous flap in the repair of lip defect. Methods: According to the location and area of the labial defect, the mucosal flap was designed in the upper and lower lip and cheek. The ratio of length to width was 2.5: 1. Muscle mucosal flap was taken as the superficial layer of muscle. The flap was repaired by local rotation and propulsion , Muscle mucosal flap after the transfer of wounds directly draw the suture. Results: Twenty - five patients were treated with lip mucosa periosteal flap repair. The mucosal flap survived completely and the survival rate was 100%. After lip repair, the shape of lip was good with no obvious scars and good cosmetic effect. CONCLUSION: This method is simple and easy to operate. The submucosal muscular pedicle is the main blood supply. There is no need to dissect the vascular pedicle. It is an ideal method for the repair of the labial defect.