组织工程与重建外科杂志 ›› 2025, Vol. 21 ›› Issue (4): 342-.

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交叉唇瓣修复上唇人中缺损的疗效观察

  

  • 出版日期:2025-08-01 发布日期:2025-09-08

Observation on the efficacy of cross-lip flap repair for upper lip philtrum defects

  • Online:2025-08-01 Published:2025-09-08

摘要:

目的 探讨应用下唇交叉唇瓣修复上唇人中缺损的临床效果。方法 应用两种交叉唇瓣修复上唇全层或非全层缺损,缺损范围达全唇1/3~1/2,缺损区域位于人中区域,手术行一期转移皮瓣修复缺损,待血供稳定后二期断蒂修整。结果 纳入的12例患者唇部交叉皮瓣均全部存活,且无明显并发症;患者对于上唇外形的整体满意度达91.7%;患者术后唇完整性及唇功能良好。结论 上唇人中区域缺损范围达全唇1/3-1/2时,可行交叉唇瓣修复,术后效果满意,美观度及唇部功能恢复好。

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Abstract:

 Objective To explore the clinical effectiveness of the lower lip cross-lip flap in repairing upper lip philtral defects. Methods Apply two types of cross-lip flaps to repair full-thickness or partial-thickness defects of the upper lip,
with the defect ranging from 1/3 to 1/2 of the entire lip, located in the philtrum area. The surgery involves one-stage transfer of the flap to repair the defect, followed by a second-stage pedicle division and trimming after the blood supply has stabilized. Results All the flaps survived without significant complications. The overall satisfaction rate for upper lip defect repair was 91.7% (including very satisfied and satisfied). The integrity and function of the lip were good. Conclusion When the defect in the philtrum area of the upper lip reaches 1/3 to 1/2 of the entire lip, the cross-lip flap repair can be performed. The postoperative results are satisfactory, with good recovery of aesthetic appearance and lip function.

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