目录
临近组织瓣与唇部皮肤具有相近的颜色和质地,是修复唇部缺损的理想方法。最近看到唇部缺损的修复,顺便对常用的一些唇缺损邻位组织瓣修复方法进行了一个小的汇总。
![Aesthetic units of lips](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/aesthetic_units)_of_lip.jpg/AddWaterprint)
![Muscle of facial expression](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/muscle_of_facial_expression.jpg/AddWaterprint)
![Cutaneous innervation of face](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/nerver_innervation_of_face.jpg/AddWaterprint)
![Superficial blood supply of face](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/blood_supply_of_face.jpg/AddWaterprint)
1.上唇滑行瓣
上唇滑行瓣与Bernard flap类似,均需在唇面沟处去除一个三角形的Burrow。
对于较大的上唇缺损采用上唇滑行瓣修复时可采用如下方法:
![上唇滑行瓣1](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/上唇滑行瓣.png/AddWaterprint)
![上唇滑行瓣2](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/上唇滑行瓣_1.jpg/AddWaterprint)
![上唇滑行瓣3](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/上唇滑行瓣_2.jpg/AddWaterprint)
2.颊部滑行瓣
![颊部滑行瓣1](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/颊部滑行瓣.png/AddWaterprint)
![颊部滑行瓣2](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/颊部滑行瓣_1.jpg/AddWaterprint)
3.Abbe flap
4. Estlander flap
![Estlander flap](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/estlander_flap.jpg/AddWaterprint)
Estlander flap与Abbe flap类似的做法,不过前者用于近口角处的唇缺损,所以唇动脉蒂部位于皮瓣内侧。
5. Gillies fan flap
![Gillies fan flap](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/gillies_fan_flap.jpg/AddWaterprint)
6. Karapandzic flap
![](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/karapandzic_flap.jpg/AddWaterprint)
7. Bernard-Burrow flap
![Bernard flap](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/Bernard_burow_flap.jpg/AddWaterprint)
![Bernar flap](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/Bernard_burow_flap_2.jpg/AddWaterprint)
8. 上唇缺损的三合一组织瓣整复术
![三合一组织瓣整复术](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/Three_in_one.png/AddWaterprint)
![三合一组织瓣整复术2](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/Three_in_one_2.png.jpg/AddWaterprint)
9. 扇形组织瓣旋转修复术
第二种即Bernard-Burrow flap
![扇形组织瓣1](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/扇形瓣.jpg/AddWaterprint)
![扇形组织瓣2](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/扇形瓣_1.png/AddWaterprint)
10. 鼻唇沟瓣旋转修复
![鼻唇沟瓣](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/von_Bruns_flap.jpg/AddWaterprint)
11. 双侧矩形旋转唇颊组织瓣修复下唇缺损
![双侧矩形瓣](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/双侧矩形唇颊组织瓣.png/AddWaterprint)
黄迪炎,王学礼,《中华整形外科杂志》
12. 双侧人中旁矩形组织瓣交叉法
![双侧人中旁矩形组织瓣](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/双侧人中旁矩形组织瓣.png/AddWaterprint)
孙弘,《第二军医大学学报》
13. 上唇人中旁三角形唇瓣交叉法
![双侧人中旁三角形组织瓣](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/双侧人中旁三角形组织瓣.png/AddWaterprint)
14. 下唇正中小型缺损拉拢缝合
![下唇正中小型缺损](https://omssurgeon-pic.oss-cn-chengdu.aliyuncs.com/website/下唇正中小型缺损.png/AddWaterprint)
转载请注明来源:唇缺损局部组织修复方法
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