A More Favorable Lower-Lip Incision for the Removal of Deep Intraoral Malignancies
A More Favorable Lower-Lip Incision for the Removal of Deep Intraoral Malignancies
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更有利的下唇切口切除深部口内恶性肿瘤
DOI：
10.1097/scs.0000000000002360
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发表时间：
2016-05-01
影响因子：
0.9
通讯作者：
Chen, Chuan Jun
中科院分区：
文献类型：
--
作者：
Xiang, Xian Wang;Feng, Da Jun;Chen, Chuan Jun
传统上，正中下唇裂直入路可用于不同类型的口腔深部恶性肿瘤，以获得广泛的手术入路，也可延伸至颌下区或颈部同时进行颈淋巴清扫术。但与此同时，它也伴随着不良的美学和功能并发症，如面部明显的疤痕、嘴唇红唇切迹、唇沟狭窄、嘴唇感觉和运动能力下降以及口腔失禁。我们设计了一种更有利的下唇切口，即副下唇切口，用于口内深部肿瘤的显露和Enb b l切除。与传统的切口线相比，我们设计的切口线更短，20例门诊患者(原发肿瘤部位包括颊粘膜、舌、下颌牙龈、上颌窦、腭部、口底)随访表明，术后瘢痕不明显，未发生唇形畸形和面瘫功能障碍或联合变形等并发症。本文报告1例经下唇旁入路切除左板鳞状细胞癌(T3N2M0)，效果良好。
Abstract The straight midline lower lip-splitting incision has traditionally been performed with different types of deep intraoral malignancies for obtaining wide surgical access, and it can also be extended to the submandibular region or the neck to concurrently perform a neck dissection. But meanwhile, it is associated with unfavorable aesthetic and functional complications such as conspicuous facial scar, lip vermilion notching, stenosis of the labial sulcus, decreased lip sensation and movement, and oral incontinence. We designed a more favorable lower-lip incision, namely, para-lower lip incision, using the exposure and en blot resection of deep intraoral tumors. Compared with the traditional incision line, our designed line is shorter, and 20 outpatients (primary tumor site including buccal mucosa, tongue, mandibular gingiva, maxillary sinus, palate, and mouth floor) follow-ups indicated the postoperative scar is inconspicuous, no lip contour deformity and dysfunction or complications of facial paralysis such as distortion of commissure happened. This article reports one case of our patients who underwent para-lower-lip incision approach for the removal of squamous cell carcinoma (T3N2M0) in the left plate and the results of the patient were favorable.