Free-Flap Reconstruction of Large Full-Thickness Lip and Chin Defects

被引：7

作者：

Godefroy, Willem P. ^{[2
]}

Klop, Willem M. C. ^{[1
]}

Smeele, Ludi E. ^{[1
]}

Lohuis, Peter J. F. M. ^{[1
,2
]}

机构：

[1] Antoni Van Leeuwenhoek Hosp, Dept Head & Neck Oncol & Surg, Netherlands Canc Inst, NL-1066 CX Amsterdam, Netherlands

[2] Diakonessen Hosp Zeist Utrecht, Ctr Facial Plast Reconstruct Surg, Zeist, Netherlands

来源：

ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY | 2012年 / 121卷 / 09期

关键词：

free flap; full-thickness defect; head and neck reconstruction; lip cancer; lip reconstruction; RADIAL FOREARM FLAP; FIBULA FREE-FLAP; THIGH FLAP; NECK; HEAD; ARTERY;

D O I：

10.1177/000348941212100906

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Objectives: We describe our experience in the reconstruction of large 3-layer lip defects using free revascularized lower-arm and fibula flaps. Methods: Between 2005 and 2009, nine patients underwent free-flap reconstruction after oncological surgery involving the lip and chin with or without mandibular involvement. The flap techniques are described, and postoperative functional and aesthetic results were recorded. Results: There were no flap failures. All patients showed intact oral function and good aesthetic results. Two patients died of distant metastases, 8 months and 17 months after surgery. Conclusions: Three-layer defects of the lip ideally require free-flap reconstruction, which has a high probability of achieving good functional and aesthetic results.

引用

页码：594 / 603

页数：10

共 26 条

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