论文部分内容阅读
目前,多数学者对红唇切除后创面是采用简单的粘膜推进方法修复。此种方法常导致下唇内翻,外形不自然。作者设计一种口轮匝肌肌粘膜瓣结合VY改形的修复方法,并用其对12例下唇唇红缺损患者施行了修复手术,其中男性11例,女性1例,年龄最小44岁,仅4例在65岁以上。病变限于唇红内9例,涉及邻近皮肤1例;涉及唇粘膜2例。除3例曾进行过放疗外,吸烟及暴露于阳光下是普通致病因素。3例为红唇表浅浸蚀性鳞癌,施行了扩展性红唇切除。手术方法行红唇水平椭圆形切除,如累及邻近皮肤及粘膜需一并切除。处理浸蚀性鳞癌须将唇红及其
At present, most scholars use the simple mucosal propulsion method to repair the wounds after resection of the lips. This method often leads to lower lip varus, the shape is not natural. The authors designed a repair of the orbicularis muscle mucosal flap combined with VY remodeling and used it to repair 12 cases of lower lip red defect patients, including 11 males and 1 females, the youngest 44 years old, only 4 cases over the age of 65. The lesions were limited to lip red in 9 cases, involving the adjacent skin in 1 case; involving the lip mucosa in 2 cases. In addition to the three cases who have undergone radiotherapy, smoking and exposure to the sun are common risk factors. 3 cases of red lips superficial erosion of squamous cell carcinoma, the implementation of the expansion of lip resection. Surgical methods horizontal lip oval resection, such as involving the adjacent skin and mucous membranes need to be removed. The treatment of erosive squamous cell carcinoma should be lip red and its