Introduction: Squamous cell carcinomas of the lip essentially pose a therapeutic management problem. In the West, their treatment is done under general anesthesia and follows the classic rules of oncology. In our cont...Introduction: Squamous cell carcinomas of the lip essentially pose a therapeutic management problem. In the West, their treatment is done under general anesthesia and follows the classic rules of oncology. In our context of exercise, we sometimes have a different attitude dictated by various constraints. Observation: 55-year-old patient with no notable history, seen in consultation for a very large ulcerative-budding lesion on the right 2/3 of the lower lip with mucocutaneous involvement without lymph node findings found on examination. Faced with this suspicious lesion and the patient’s financial difficulties, we decided to operate under local anesthesia to remove this tumor. The oncological excision was followed by immediate plasty using a Camille-Bernard flap with a good immediate aesthetic and functional result and postoperative day 7. The patient was unable to take his surgical specimen to anatomy-pathology and was lost to follow-up due to lack of financial resources. On anatomo-pathological analysis of the surgical specimen, the margins were healthy with confirmation of squamous cell carcinoma (anapathological reading made for scientific interest). Discussion: The particular mentality of certain patients and their difficult financial conditions push us to have an unconventional therapeutic attitude in oncology, but which nevertheless makes it possible to resolve certain problems that we often face. Local anesthesia is possible and realistic in cases like ours and the results can be acceptable and life-saving.展开更多
目的:探讨Abbe瓣、Es t l ander瓣和Ber nar d瓣修复唇癌术后缺损的效果。方法:对行Abbe瓣、Es t l ander瓣和Ber nar d瓣修复唇缺损的14例唇癌患者进行病例资料回顾性研究,对3种修复方法的效果进行评价。结果:随访期间,无局部复发及区...目的:探讨Abbe瓣、Es t l ander瓣和Ber nar d瓣修复唇癌术后缺损的效果。方法:对行Abbe瓣、Es t l ander瓣和Ber nar d瓣修复唇缺损的14例唇癌患者进行病例资料回顾性研究,对3种修复方法的效果进行评价。结果:随访期间,无局部复发及区域淋巴结转移。随时间的推移,功能及美观评分越来越高(功能及外形效果越来越好)。术后6个月,总体形态功能和自我评价的结果均较为满意。结论:Abbe瓣、Est l ander瓣及Bernard瓣修复唇部缺损各有优点,需根据缺损大小、位置、患者需求选择,可达到满意效果。展开更多
文摘Introduction: Squamous cell carcinomas of the lip essentially pose a therapeutic management problem. In the West, their treatment is done under general anesthesia and follows the classic rules of oncology. In our context of exercise, we sometimes have a different attitude dictated by various constraints. Observation: 55-year-old patient with no notable history, seen in consultation for a very large ulcerative-budding lesion on the right 2/3 of the lower lip with mucocutaneous involvement without lymph node findings found on examination. Faced with this suspicious lesion and the patient’s financial difficulties, we decided to operate under local anesthesia to remove this tumor. The oncological excision was followed by immediate plasty using a Camille-Bernard flap with a good immediate aesthetic and functional result and postoperative day 7. The patient was unable to take his surgical specimen to anatomy-pathology and was lost to follow-up due to lack of financial resources. On anatomo-pathological analysis of the surgical specimen, the margins were healthy with confirmation of squamous cell carcinoma (anapathological reading made for scientific interest). Discussion: The particular mentality of certain patients and their difficult financial conditions push us to have an unconventional therapeutic attitude in oncology, but which nevertheless makes it possible to resolve certain problems that we often face. Local anesthesia is possible and realistic in cases like ours and the results can be acceptable and life-saving.
文摘目的:探讨Abbe瓣、Es t l ander瓣和Ber nar d瓣修复唇癌术后缺损的效果。方法:对行Abbe瓣、Es t l ander瓣和Ber nar d瓣修复唇缺损的14例唇癌患者进行病例资料回顾性研究,对3种修复方法的效果进行评价。结果:随访期间,无局部复发及区域淋巴结转移。随时间的推移,功能及美观评分越来越高(功能及外形效果越来越好)。术后6个月,总体形态功能和自我评价的结果均较为满意。结论:Abbe瓣、Est l ander瓣及Bernard瓣修复唇部缺损各有优点,需根据缺损大小、位置、患者需求选择,可达到满意效果。
