功能和美学下唇重建与压缩器角大脑肌肉和反向上方唇动脉
1From the Department of Plastic, Reconstructive and Aesthetic Surgery Gaziosmanpaşa University Medical School, Tokat, Turkey.
Annals of plastic surgery
|October 24, 2024
概括
这项研究提出了一种新的手术技术,用于使用两个专门的片进行下唇重建. 该方法成功地恢复了下唇缺陷的患者的功能和美学.
科学领域:
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
- 口腔和牙面部外科手术
背景情况:
- 下唇缺陷会影响基本功能,如吃饭,说话和面部表情.
- 重建下唇需要更换粘膜,肌肉和皮肤,以获得最佳的功能和美学效果.
- 实现下唇缺陷的功能和美学修复是一个手术挑战.
研究的目的:
- 评估一项用于部分整体下唇缺陷修复的新手术技术.
- 评估使用联合肌肉和动脉片用于下唇重建的功能和美学结果.
- 为了确定一个内化压抑器角大脑肌肉和一个反向上唇动脉的疗效.
主要方法:
- 在7名男性患者 (平均年龄63岁) 的下唇部分整体重建中,使用了内化压缩角肌和脱皮化反向上唇动脉.
- 压缩角体肌肉片解决了体肌肉缺陷.
- 反向的上唇动脉片提供了粘膜和皮肤的覆盖.
主要成果:
- 所有逆上唇动脉片的完整存活,没有损失.
- 在第六周成功地表皮化了片部分.
- 电肌图证实了6个月后的抑郁角或肌肉收缩性,随访期间恢复了感觉.
结论:
- 结合使用内化压缩方角大脑肌肉和无皮质的反向上唇动脉是一个可行的手术选择.
- 这种技术提供了一种有价值的方法来实现下唇缺陷的功能和美学修复.
- 这项研究强调了这种结合片策略在重建性手术中的潜力.
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