Reconstruction of an upper lip and intraoral defect following resection of an upper lip melanoma using a lower lip musculomucosal flap combined with a tongue flap

Reconstruction of an upper lip and intraoral defect following resection of an upper lip melanoma using a lower lip musculomucosal flap combined with a tongue flap
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下唇肌粘膜瓣联合舌瓣重建上唇黑色素瘤切除后的上唇及口内缺损

DOI:
10.1093/jscr/rjaa072
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发表时间:
2020
影响因子:
0.5
通讯作者:
Tetsuji Okamoto
Tetsuji Okamoto
中科院分区:
--
文献类型:
--
作者:
Yukio Yoshioka;Yasutaka Hayashido;Yoku Ito;Shigeaki Toratani;Tetsuji Okamoto

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在肿瘤切除后恢复嘴唇的美容和功能是具有挑战性的。我们报告一例下唇肌粘膜瓣联合舌瓣修复黑色素瘤切除后的缺损。1例20岁男性患者被诊断为恶性黑色素瘤合并右颌下淋巴结转移。我们用颈淋巴清扫术切除了肿瘤。我们不仅切除了右侧上唇粘膜,还切除了从右侧尖牙到左侧中切牙的牙周肌和牙槽骨。同时采用下唇肌粘膜瓣和舌瓣同时修复。在初次手术后3个月行翻修手术以消除术后瘢痕的收缩,并进行右侧朱砂边缘收集。上唇没有出现功能性和美容方面的问题。
Restoring the cosmetic and functional aspects of the lip after tumor resection is challenging. We report a case of reconstruction for a defect due to resection of a melanoma using a lower lip musculomucosal flap combined with a tongue flap. A 20-year-old man was referred to our hospital and diagnosed with malignant melanoma with metastatic right submaxillary lymph nodes. We excised the tumor with neck dissection. We excised not only the right upper lip mucosa but also the gum, including some orbicularis oris muscle and alveolar bone from the right canine tooth to the left central incisor tooth. The defect was simultaneously reconstructed using both, a lower lip musculomucosal flap and a tongue flap. Revisional operation to remove contraction of a postoperative scar and the right vermillion border collection was performed at 3 months after the initial operation. There had been no functional and cosmetic trouble of the upper lip.
DOI: --
发表时间: 2012
影响因子: 0.9
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