Repair of Large Lip Vermilion defects with Mutual Cross Lip Musculomucosal Flaps
Repair of Large Lip Vermilion defects with Mutual Cross Lip Musculomucosal Flaps
复制标题
交叉唇肌粘膜瓣修复大唇红缺损
DOI：
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发表时间：
2012
影响因子：
0.9
通讯作者：
M. Arshad
中科院分区：
文献类型：
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作者：
A. Manafi;Mohammad Ahmadi Moghadam;Maryam Mansouri;H. Bateni;M. Arshad
背景朱红不规则是唇裂修复、血管瘤消退或切除、创伤和肿瘤手术后常见的继发畸形。朱红缺乏引起了相当大的关注，并有损于原本出色的唇部修复。轻微和中度的朱红缺陷可以通过上唇前移、旋转皮瓣、舌瓣或移植来矫正。主要缺陷无法用局部皮瓣修复。描述了一种使用相互交叉唇肌肉粘膜皮瓣 (MCLMF) 或艾哈迈德·阿里皮瓣来矫正朱红的大的绝对组织缺陷的技术。方法 该技术应用于 8 名因血管瘤消退、肿瘤和外伤而出现严重朱红缺损的患者。使用 MCLMF 进行重建可以创造出平衡的供体和受体嘴唇外观和功能。结果 术后无并发症发生。所有患者的手术结果均令人满意，并且保持了足够的嘴唇活动度和足够的体积。一名患者表现出轻微的短暂嘴唇收紧。结论 在选定的患者中使用艾哈迈德·阿里皮瓣成功重建了严重的朱红缺损。
BACKGROUND Vermilion irregularities are common secondary deformities after cleft lip repair, regressed or resected hemangiomas, trauma and tumor surgeries. Vermilion deficiency attracts considerable attention and detracts from an otherwise excellent lip repair. Minor and moderate vermilion defects can be corrected with upper lip advancement, rotation flaps, tongue flaps or grafts. Major defects defy correction with local flaps. A technique is described for correction of large absolute tissue defects of the vermilion using Mutual Cross-Lip Musculomucosal Flaps (MCLMF) Or Ahmad-Ali's flaps. METHODS This technique was applied in eight patients with major vermilion defects secondary to hemangioma regression, neoplasia, and trauma. Reconstruction with MCLMF led to create a balanced donor and recipient lips appearance and function. RESULTS There were no postoperative complications. Surgical results were satisfactory in all patients, and sufficient lip mobility with adequate bulk was maintained. One patient demonstrated minimal transient lip tightening. CONCLUSION Use of Ahmad-Ali's flaps in selected patients resulted in successful reconstruction of severe vermilion defects.