改良Bernard滑行瓣修复唇癌术后缺损

Modified Bernard sliding flaps for repairing lower lip defects after cancer resection

目的 设计一种适合于下唇大部分缺损的修复方法。方法 在Bernard的下唇矩形切除术的术式上进行改良 ,形成一种新的下唇滑行瓣修复术。结果 5例下唇癌切除、改良下唇滑行瓣即刻修复的患者 ,术后下唇外形 (即唇高、下唇的厚度、前庭沟的深度 )均无明显改变。结论 改良的下唇滑行瓣修复术较适用于下唇缺损范围在 1/ 2～ 2 /

Objective To design a simple and reliable technique that employed sliding labial tissue to repair large lower lip defects. Methods The new sliding flaps were designed on modifying Bernards technique for repairing larger lip defects.Results Five patients with lower lip carcinomas were performed tumor resection and their large defects were repaired with labial sliding flaps immediately. Functional and cosmetic results were good, and there were no intra\|or postoperative complications.Conclusion The modified labial sliding flap technique is simple and safe. The technique appears to be effective for repairing defects covering one\|second to two\|thirds of the lower lip.