改良Gillies扇形组织瓣在下唇中重度全厚缺损修复与功能重建中的应用<br />-《中国美容医学》

文章信息/Info

Title:: Application of Modified Gillies Fan Flap in Repair and Functional Reconstruction of
Moderate-severe Full-thickness Lower Lip Defects

Keywords:: Key words:lip defect; modified fan flap; repair; functional reconstruction

摘要:: [摘要]目的：探索改良Gillies扇形全厚组织瓣在下唇中重度缺损修复与功能重建中的应用，规范手术设计与方法，总结临
床矫治经验。方法：对2008年1月-2019年12月笔者科室收治的15例下唇中重度缺损患者采用改良Gillies扇形全厚组织瓣进
行修复与重建，提出了获得性唇缺损畸形的分类，规范了手术设计与手术方法。结果：15例中重度下唇缺损的患者，用单
侧改良Gillies扇形全厚组织瓣修复唇缺损12例，双侧改良Gillies扇形全厚组织瓣修复唇缺损3例，重建了口轮匝肌的连续
性，获得了理想的唇外形及功能。结论：改良Gillies扇形全厚组织瓣手术设计与手术方法规范，临床病例证实改良Gillies
扇形全厚组织瓣修复下唇中重度缺损，能获得良好的唇外形及运动功能，有重要的临床应用价值。

Abstract:: Abstract: Objective To explore the application of the modified Gillies full-thickness fan flap technique for the repair and
functional reconstruction of moderate-severe lower lip defects, and to regulate the surgical design and methods as well as to
summarize the experience of clinical correction. Methods From January 2008 to December 2019, a total of 15 cases with
moderate-severe lower lip defects receiving repair and reconstruction with modified Gillies full-thickness fan flaps were
included in this study. The classification of acquired lip defects and deformities was proposed, and the surgical design and
methods were regulated. Results Among the 15 cases with moderate-severe lower lip defects, repair using unilateral modified
Gillies full-thickness fan flap was performed in 12 cases, and bilateral modified Gillies full-thickness fan flap was performed in
three cases. The continuity of the orbicularis oris muscles was restored, and ideal lip appearance and functions were obtained.
Conclusion The surgical design and methods for modified Gillies full-thickness fan flap were regulated. The clinical cases
confirm that treatment of moderate-severe lip defects with modified Gillies full-thickness fan flap tends to achieve good lip
appearance and motor functions, which is of significant value for clinical application.