全下唇重建术:近期进展综述。

IF 1.9 4区 医学 Q2 OTORHINOLARYNGOLOGY Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2023-12-01 Epub Date: 2023-10-12 DOI:10.1097/MOO.0000000000000926
Aishwarya Shukla, Kelsey Loy, G Nina Lu
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引用次数: 0

摘要

综述目的:本综述介绍了重建全下唇缺损以恢复口周美观和功能的基本原理和最新进展。最近的发现:Abbe皮瓣和面罩皮瓣的修改最近已经被描述。游离皮瓣技术的最新进展集中在重建后下唇吊带功能的动态恢复上。这涉及到转移有神经或无神经的肌肉组织来重建下唇,以恢复嘴唇的括约肌功能。总结:全厚下唇缺损的重建目标是恢复功能性口腔括约肌,更换粘膜和外部皮肤,并保持口腔的功能大小。局部皮瓣重建亚全下唇缺损是可能的,但使用局部皮瓣进行全唇重建往往会导致显微切除。有几种静态和动态的自由组织转移方案可用于下唇重建,本文对此进行了总结。
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Total lower lip reconstruction: a review of recent advances.

Purpose of review: This review describes the fundamental principles and recent advances in the reconstruction of total lower lip defects to restore peri-oral aesthetic and function.

Recent findings: Modifications to the Abbe flap and visor flap have recently been described. Recent advances to free flap techniques have focused on dynamic restoration of lower lip sling function after reconstruction. This involves the transfer of innervated or noninnervated muscle tissue to reconstruct the lower lip to restore the sphincter function of the lips.

Summary: The reconstructive goals for a full thickness lower lip defect are to restore a functional oral sphincter, replace mucosal and external skin, and maintain a functional size of the oral aperture. Local flap reconstruction of sub-total lower lip defects is possible, but use of local flaps for total lip reconstruction often leads to microstomia. Several static and dynamic free tissue transfer options exist for lower lip reconstruction and have been summarized in this review.

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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
96
审稿时长
6-12 weeks
期刊介绍: Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.
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