Functional and aesthetic reconstruction of full-thickness cheek, oral commissure and vermilion
Functional and aesthetic reconstruction of full-thickness cheek, oral commissure and vermilion
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DOI：
10.1054/jcms.2001.0249
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发表时间：
2001-12-01
影响因子：
3.1
通讯作者：
Komori, T
中科院分区：
文献类型：
--
作者：
Yokoo, S;Tahara, S;Komori, T
目的：本文介绍颊粘膜鳞癌切除后颊部全层缺损的修复中颊部、口连合和红唇的重建方法。患者和方法：四个重建在一个阶段的手术，无论是游离前臂皮瓣或腹直肌肌皮瓣的脸颊和口腔连合进行。并提出了一种新的红唇推进皮瓣的手术入路。最具挑战性的是，不仅需要形态重建的口，但也为生理重建的括约肌和感觉功能的朱红色。结果：获得了具有括约肌功能和感觉功能的唇形态和生理重建。结论：这种有价值的重建技术在涉及脸颊、口连合和朱红的大的全层缺损中得到了证实。(C)2001年欧洲颅颌面外科协会。
Purpose: This paper presents surgical techniques for reconstruction of the cheek, oral commissure and vermillion in the repair of full-thickness cheek defects after resection of buccal-mucosal squamous cell carcinoma. Patients and Methods: Four reconstructions in one-stage surgery with either a free radial forearm flap or a rectus abdominis musculocutaneous flap for cheek and oral commissure were carried out. There were combined with a new approach for vermillion advancement flaps. Most challenging was the need not only for morphological reconstruction of the orifice, but also for physiological reestablishment of sphincteric and sensory functions in the vermillion. Results: Morphological and physiological reconstruction of the lip with sphincteric and sensory functions was attained. Conclusion: This valuable reconstruction technique was demonstrated in large, full thickness defects involving the cheek, oral commissure and vermilion. (C) 2001 European Association for Cranio-Maxillofacial Surgery.