鼻唇沟皮下组织蒂皮瓣在上唇缺损修复中的应用

摘要

目的:介绍鼻唇沟皮下组织蒂皮瓣在上唇缺损修复中的应用.方法:2006年6月～2010年4月间,应用鼻唇沟皮下组织蒂皮瓣修复上唇缺损31例.于缺损邻近部位设计鼻唇沟皮下组织蒂皮瓣,按设计线切开皮肤,向下及周围潜行分离形成皮瓣,滑行或旋转修复上唇缺损.结果:应用此法修复上唇缺损31例,切口均Ⅰ期愈合,皮瓣全部成活,术区平整,无"猫耳"畸形,面部形态满意,远期瘢痕不明显.结论:鼻唇沟皮下组织蒂皮瓣修复上唇缺损,手术效果肯定,能达到良好的美学效果,是一种较理想的修复方法.%Objective To evaluate the application of subcutaneous pedicle nasolabial flap in upper lip defectss repair.Methods From June 2006 to April 2010,the subcutaneous pedicle nasolabial flap was designed to repair upper lip defect in 31 patients.The flap were designed adjacent to the defects and the incision line corresponded to the nasolabial line.We undermined the flap downwards and outwards to form a subcutaneous pedicle nasolabial flap,then Slided or rotatec. the flap to cover the upper lip defects. Fesults 31 cases with upper lip defectss were repaired with subcutaneous pedicle nasolabial flap. All the flaps survived and cosmetic results were satisfactory without dog-ear or visible scar. Conclusion This method is easy to perform with a high successful rate,and may be one of the most ideal methods in upper lip defectss repair.