自体脂肪移植联合唇部组织瓣在修复唇萎缩畸形缺损中的应用

Application of autologous fat transplantation combined with lip tissue flap in repairing lip atrophy deformity defect

目的探讨自体脂肪移植联合黏膜组织瓣对不同程度唇萎缩畸形的修复效果。方法选择14例唇萎缩患者为研究对象,根据萎缩的程度分为轻度、中度、重度萎缩3个类型,分别采用不同的术式恢复唇形态。轻度萎缩患者采用脂肪移植术;中度萎缩患者采用脂肪移植联合唇黏膜外推术;重度唇萎缩患者,一期采用脂肪移植联合唇黏膜外推术,二期采用邻位黏膜组织瓣移植术。结果14例患者术后唇外观及功能恢复较好,其中3例因患者要求较高,后期进行再次脂肪移植,术后均对疗效满意。结论根据唇萎缩程度的不同,分别采用自体脂肪移植或联合黏膜组织瓣的方法来修复唇萎缩畸形,不仅能达到较好的术后效果,而且创伤小,对邻近组织影响小,患者满意度较高。

Objective This study aimed to explore the repair effect of autologous fat transplantation combined with mucosal tissue flap on different degrees of lip atrophy.Methods Fourteen patients with lip atrophy were selected as the research objects.On the basis of the degree of atrophy,they were divided into three types:mild,moderate,and severe atrophy.Different surgical methods were used to restore the lip shape.Fat transplantation was conducted for patients with mild atrophy.Patients with moderate atrophy were treated with fat transplantation combined with lip mucosal extrapolation.For patients with severe lip atrophy,fat transplantation combined with lip mucosal extrapolation was used in the first stage,and the adjacent mucosal tissue flap transplantation was used in the second stage.Results The appearance and function of the lip of 14 patients recovered well after the operation.Three of them received fat grafting again due to the higher requirements of the patients.All of them were satisfied with the effect after the operation.Conclusion Depending on the different degrees of lip atrophy,autologous fat transplantation or combined with mucosal tissue flap to repair lip atrophy deformity could not only achieve a better postoperative effect but also low trauma,low influence on adjacent tissues,good surgical effect,and high patient satisfaction.