关键词: chimeric flap commissuroplasty double-paddle peroneal chimeric flap lips and oral commissure through-and-through defect

Mesh : Adult Aged Carcinoma, Squamous Cell / mortality pathology surgery Cheek / surgery Cohort Studies Esthetics Female Follow-Up Studies Graft Rejection Graft Survival Humans Lip / surgery Male Middle Aged Mouth / surgery Mouth Neoplasms / mortality pathology surgery Perforator Flap / blood supply transplantation Reconstructive Surgical Procedures / methods Retrospective Studies Treatment Outcome Wound Healing / physiology

来  源:   DOI:10.1002/hed.23658   PDF(Sci-hub)

Abstract:
BACKGROUND: Through-and-through cheek defects involving both lips and the oral commissure may result from cancer ablation. Reconstructive procedures for repairing the defect usually lead to oral incontinence, drooling, and difficulties with speech and oral access, and require further revision in a second-stage operation.
METHODS: An innovative, free double-paddle peroneal chimeric flap is used to achieve one-stage reconstruction for through-and-through cheek defects involving both lips and the oral commissure.
RESULTS: From January 1996 to December 2012, a total of 55 patients underwent reconstructions of through-and-through cheek defects involving both lips and the oral commissure with free double-paddle peroneal chimeric flaps after their oral cancer resection. Both the functional and esthetic results were excellent in most of the patients.
CONCLUSIONS: Free double-paddle peroneal chimeric flap with this novel flap design and inset method can produce functionally and aesthetically pleasing lips, vermilion borders, and oral commissure in one-stage reconstruction after oral cancer ablation.
摘要:
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