71例恶性肿瘤术后唇部缺损修复的分析

Reconstruction of lip defects in 71 cases after removal of malignant tumor

目的：对唇部恶性肿瘤术后缺损修复手术进行总结。方法：71例唇部缺损修复术中应用滑行瓣6例，Karapandzic瓣28例，单侧切口Karapandzic瓣37例。术后复诊，记录开口度、口角对称性、术区动度及皮肤感觉。询问患者满意度。结果：本组患者以鳞状细胞癌为主（63例，88．7％）。肿瘤切除术后唇部缺损范围为唇长的40％～80％。术后随访3月～8年，局部均无复发。开口度正常52例（73．2％）；口角对称性65例（91．5％）；术区动度及皮肤感觉良好71例（100％）；患者满意及基本满意71例（100％）。结论：使用滑行瓣、Karapandzic瓣修复唇部恶性肿瘤术后缺损，外形及功能恢复良好，结果满意。

Objective： To evaluate the results of reconstruction of lip defects after removal of malignant tumor. Methods： Lip de- fects were reconstructed in 71 cases from February 2003 to January 2012 by advancement flaps （6 cases, 8.5 % ） , Karapandzic flaps （28 cases,39.4% ） and unilateral Karapandzic flaps （37 cases ,52.1% ） respectively. The results of oral stoma, the symmetry of the commissure, the mobility and sensation of operative region and the gratification of patients were recorded. Results： Squamous cell carcinoma（SCC） comprised 88.7% （63/71） of the cases. The lip defects ranged from 40% to 80% of the lip circumference. The fol- low-up were between 3 months to 8 years. All cases were free from relapse. 52（73.2% ） and 65（91.5% ） out of the 71 patients ob- tained normal oral stoma and symmetric commissure respectively. None of the patients complained restriction of mobility and uncom- fortable feeling in surgical region. All patients were satisfied with the results of operations. Condusion： Reconstruction of lip defects by advancement flap or Karapandzic flap accordingly may obtain satisfactory aesthetic and functional results.