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題 名 | 使用游離皮瓣重建全下唇缺損--經驗性回顧=Utilizing Free Flap to Reconstruct Total Lower Lip Defects--Experience Review |
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作 者 | 白馨; 陳建晟; 徐偉凱; 林廷宣; 李芳輝; 羅正興; 林廷宣; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
卷 期 | 29:2 2018.06[民107.06] |
頁 次 | 頁77-87 |
分類號 | 416.413 |
關鍵詞 | 橈側前臂自由皮瓣; 掌長肌腱; 根蒂舌瓣; Radial forearm flap; Palmaris longus tendon; Tongue flap; |
語 文 | 中文(Chinese) |
中文摘要 | 全下唇缺損之重建在頭頸部重建手術中仍然相當困難,下唇組織包含了特殊的解剖構造:口内黏膜、下唇紅唇區、肌肉、與臉部皮膚,若無經過適當的重建,不只會影響美觀,還會影響功能的預後,例如下臉部外觀缺陷,小口症與流涎。本文主旨爲描述使用前臂游離皮瓣合併使用根蒂舌瓣重建全下唇缺損其手術方式之演進。從2002年三月至2013年八月聖馬爾定醫院口腔顎面外科,共回顧了14個使用顯微手術重建全下唇之病例,並且評估其功能預後。整體而言,使用帶掌長肌肌腱之前臂游離皮瓣合併使用根蒂舌瓣提供了適切的全下唇重建之組織結構,且達到極佳之美觀與功能的結果。 |
英文摘要 | Reconstruction of entire lower lip defect is still challenging in head and neck reconstructions. The unique structure of the lower lip includes intraoral mucosa, vermillion border, muscle and facial skin. Without proper reconstruction of the defect, not only will the aesthetic outcomes be compromised but also functional outcome too, for example, lower facial deformity, microstomia and saliva drooling. The purpose of this article is to describe the evolution of the microvascular technique of using radial forearm free flap combined with pedicle tongue flap for the reconstruction of total lower lip defects. From March 2002 to August 2013, we reviewed 14 cases of the microvascular reconstruction techniques and outcomes in total lower lip defect, in the OMS department of St. Martin De Porres Hospital. In conclusion, radial forearm free flap accompanying palmaris longus tendon and pedicle tongue flap provide the ideal tissue for the reconstruction of total lower lip defects and give excellent aesthetic and functional outcomes. |
本系統中英文摘要資訊取自各篇刊載內容。