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颊及上、下唇部癌切除术后常导致全层缺损而使病人面临很多困难:(1)病人常需用Ryle氏管喂食,并有语言及共鸣功能障碍。(2)面容毁坏,淌口水并在缺损区周围有湿疹样反应。为此,作者们提出了用远隔部位组织做颊及唇部全层缺损重建的目的如下:①应能同时重建外面、内衬并有良好的功能及美容效果,即皮肤色泽与面部的匹配适合,并能适当地重建口角。②方法应简单,创伤要小于原癌瘤手术,且不干扰也不限制癌的手术。③皮瓣蒂的血运和吸收需良好,供皮区外形的损坏亦应最小。共观察16例累及口角、颊及唇癌病例,15例因肿物直径大于3cm不可能单纯用松动周围的组
Buccal and upper and lower lip cancer often leads to full-thickness defects after resection of the patient faces many difficulties: (1) patients often need to use Ryle's tube feeding, and language and resonance dysfunction. (2) facial damage, dribbling and eczema-like reaction around the defect area. To this end, the authors proposed the use of remote parts of the cheek and lip reconstruction of the full-thickness defect purposes are as follows: â 'should be able to rebuild the outside at the same time, lining and has good functional and cosmetic results, that skin color and facial match Fit and rebuild your mouth properly. ② The method should be simple, trauma should be less than the original cancer surgery, and does not interfere with nor limit the cancer surgery. ③ pedicle pedicle blood supply and absorption of the need for good, for the skin area shape damage should be minimal. A total of 16 cases involving the mouth, cheek and lip cancer cases were observed, 15 cases of tumor diameter greater than 3cm can not simply use loose around the group