摘要
目的探讨由于不当治疗引起的上唇萎缩的治疗方法。方法2008年3月至2012年3月，对4例因硬化剂注射治疗和放射治疗引起的上唇萎缩病例，采用下唇口轮匝肌瓣加脱细胞真皮包裹，将该瓣从口角转移至上唇以增加上唇的厚度和高度。结果4例上唇萎缩均达到一期愈合，术后随访3年，所有病例上唇外部形态均得到改善，上唇红唇饱满，无明显瘢痕。结论应用脱细胞真皮包裹口轮匝肌治疗儿童上唇萎缩，可以有效地增加上唇厚度，较好地修复唇红，弥补儿童下唇组织量不足的缺陷。
Objective To investigate the treatment of upper lip atrophy resulted by previous therapy. Methods From Mar. 2008 to Mar. 2012, 4 cases with upper lip atrophy resulted by radiotherapy and sclerosing agent injection were treated with lower orbieularis oris muscle flap wrapped by acelluar dermis. The thickness and height of upper lip were increased to improve the lip atrophy. Results Primary wound healing was achieved in all the 4 cases. All the patients were followed up for 3 years with obvious improvement and inconspicuous scar. Conclusion The volume of lower lip in children is not sufficient as donor site. The lower orbicularis oris muscle flap wrapped by acelluar dermis can effectively improve the lip thickness and vermilion portion of upper lip.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2013年第4期241-243,共3页
Chinese Journal of Plastic Surgery
关键词
脱细胞真皮
口轮匝肌瓣
儿童
萎缩
上唇
Acelluar dermis
Orbicular oris muscle flap
Child
Atrophy, upper lip
