RECONSTRUCTION OF SMALL-SIZED AND MEDIUM-SIZED DEFECTS OF THE LOWER LIP

被引:34
作者
CALHOUN, KH
机构
[1] Department of Otolaryngology, University of Texas Medical Branch, Galveston, TX
关键词
D O I
10.1016/0196-0709(92)90093-9
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Defects of up to one third of the lower lip can usually be closed primarily, using one of the excision shapes described above. Defects of 30% to 50% of the lower lip can be closed with a stair-step or lip-switch flap. In most circumstances, stair-step reconstruction attains good function more quickly than the lip switch flap and has a better aesthetic result. Defects of 50% to 75% of the lower lip can be closed with a fan flap or a Karapandzic flap; the Karapandzic flap generally provides a better functional result. Both of these flaps cause rounding of the corner of the mouth that compromise the aesthetic result. © 1992.
引用
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页码:16 / 22
页数:7
相关论文
共 23 条
[1]  
Bateman, Mason, Applied Anatomy and Physiology of the Speech and Hearing Mechanism, (1984)
[2]  
Hollinshead, Anatomy for Surgeons: The Head and Neck, pp. 209-214, (1982)
[3]  
Khoury, Anatomy of the lips and chin, Plastic Surgery of the Head and Neck, pp. 1161-1166, (1987)
[4]  
Warwich, Williams, Gray's Anatomy, (1973)
[5]  
Zide, McCarthy, The mentalis muscle: An essential component of chin and lower lip position, Plast Reconstr Surg, 83, pp. 413-420, (1989)
[6]  
Vistnes, Souther, The anatomical basis for common cosmetic anterior neck deformities, Ann Plast Surg, 2, pp. 381-388, (1979)
[7]  
Freilinger, Gruber, Happak, Et al., Surgical anatomy of the mimic muscle system and the facial nerve Importance for reconstruction and aesthetic surgery, Plastic and Reconstructive Surgery, 80, pp. 686-690, (1987)
[8]  
Fara, The anatomy of cleft lip, Plast Reconstr Surg, 2, pp. 201-214, (1975)
[9]  
Ashley, Reconstruction of the lower lip, Plast Reconstr Surg, 15, pp. 313-327, (1955)
[10]  
Gullane, Martin, Minor and major lip reconstruction, J Otolaryngol, 12, pp. 75-82, (1983)