Functional reconstruction of the upper and lower lips and commissure with a forearm flap combined with a free gracilis muscle transfer

被引：30

作者：

Ueda, K. ^{[1
]}

Oba, S. ^{[1
]}

Nakai, K. ^{[1
]}

Okada, M. ^{[1
]}

Kurokawa, N. ^{[1
]}

Nuri, T. ^{[1
]}

机构：

[1] Osaka Med Coll, Dept Plast & Reconstruct Surg, Takatsuki, Osaka 5698686, Japan

来源：

JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY | 2009年 / 62卷 / 10期

关键词：

Upper lip reconstruction; Oral commisure; Orbicularis oris muscle reconstruction; Gracilis muscle flap; Microsurgery; Facial nerve; BUCCAL MUSCULOMUCOSAL FLAP; DEFECTS; VERMILION;

D O I：

10.1016/j.bjps.2008.01.040

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

After resection of an arterio-venous malformation of the upper and lower lips and commissure we performed reconstruction with a forearm flap combined with a free gracilis muscle transfer. First the motor nerve of the gracilis muscle was anastomsed to a buccal nerve branch in the cheek. In a second operation, the red lip was reconstructed with an oral mucosal graft, and the upper lip skin was reconstructed with a local flap. The patient obtained good oral sphincter function for eating, speaking and air inflation. (C) 2008 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

引用

页码：E337 / E340

页数：4

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