国际口腔医学杂志 ›› 2021, Vol. 48 ›› Issue (4): 411-416.doi: 10.7518/gjkq.2021074

• 论著 • 上一篇    下一篇

自体脂肪移植联合唇部组织瓣在修复唇萎缩畸形缺损中的应用

杨祺1,2(),郭丽娟1,3()   

  1. 1.遵义医科大学口腔医学院 遵义 563000
    2.遂宁市中心医院口腔科 遂宁 629000
    3.遂宁市中心医院医疗美容科 遂宁 629000
  • 收稿日期:2020-12-05 修回日期:2021-03-02 出版日期:2021-07-01 发布日期:2021-06-30
  • 通讯作者: 郭丽娟
  • 作者简介:杨祺,硕士,Email: 1148834354@qq.com
  • 基金资助:
    国家自然科学基金(81600819)

Application of autologous fat transplantation combined with lip tissue flap in repairing lip atrophy deformity defect

Yang Qi1,2(),Guo Lijuan1,3()   

  1. 1. School of Stomatology, Zunyi Medical University, Zunyi 563000, China
    2. Dept. of Stomatology, Suining Central Hospital, Suining 629000, China
    3. Dept. of Medical Cosmetology, Suining Central Hospital, Suining 629000, China
  • Received:2020-12-05 Revised:2021-03-02 Online:2021-07-01 Published:2021-06-30
  • Contact: Lijuan Guo
  • Supported by:
    National Natural Science Foundation of China(81600819)

摘要:

目的 探讨自体脂肪移植联合黏膜组织瓣对不同程度唇萎缩畸形的修复效果。方法 选择14例唇萎缩患者为研究对象,根据萎缩的程度分为轻度、中度、重度萎缩3个类型,分别采用不同的术式恢复唇形态。轻度萎缩患者采用脂肪移植术;中度萎缩患者采用脂肪移植联合唇黏膜外推术;重度唇萎缩患者,一期采用脂肪移植联合唇黏膜外推术,二期采用邻位黏膜组织瓣移植术。结果 14例患者术后唇外观及功能恢复较好,其中3例因患者要求较高,后期进行再次脂肪移植,术后均对疗效满意。结论 根据唇萎缩程度的不同,分别采用自体脂肪移植或联合黏膜组织瓣的方法来修复唇萎缩畸形,不仅能达到较好的术后效果,而且创伤小,对邻近组织影响小,患者满意度较高。

关键词: 唇萎缩, 分型, 脂肪移植, 黏膜组织瓣, 治疗

Abstract:

Objective This study aimed to explore the repair effect of autologous fat transplantation combined with mucosal tissue flap on different degrees of lip atrophy. Methods Fourteen patients with lip atrophy were selected as the research objects. On the basis of the degree of atrophy, they were divided into three types: mild, moderate, and severe atrophy. Different surgical methods were used to restore the lip shape. Fat transplantation was conducted for patients with mild atrophy. Patients with moderate atrophy were treated with fat transplantation combined with lip mucosal extrapolation. For patients with severe lip atrophy, fat transplantation combined with lip mucosal extrapolation was used in the first stage, and the adjacent mucosal tissue flap transplantation was used in the second stage. Results The appearance and function of the lip of 14 patients recovered well after the operation. Three of them received fat grafting again due to the higher requirements of the patients. All of them were satisfied with the effect after the operation. Conclusion Depending on the different degrees of lip atrophy, autologous fat transplantation or combined with mucosal tissue flap to repair lip atrophy deformity could not only achieve a better postoperative effect but also low trauma, low influence on adjacent tissues, good surgical effect, and high patient satisfaction.

Key words: lip atrophy, typing, fat grafting, mucosal tissue flap, treatment

中图分类号: 

  • R782.2 +5

图1

脂肪移植手术示意图 A:脂肪移植术前;B:虚线处为脂肪移植填充区域;C:脂肪移植术后。"

图2

黏膜外推手术示意图 A:唇部做“V”型切口;B:唇内侧黏膜外推后“Y”型缝合。"

图3

唇黏膜组织瓣转瓣手术示意图 A:上下唇设计手术切口;B:切开,分离待移植区域;C:下唇瓣转移至上唇并对位缝合;D:断蒂,上下唇的断蒂区域缝合。"

图4

病例1术前术后正面观 A:一期手术术前;B:一期手术术后即刻;C:一期手术术后1.5年;D:二期手术术后即刻;E:二期手术术后3周;F:二期手术断蒂后8 d。"

图5

病例2术前术后正面观 A:术前;B:术后15 d。"

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