Background:Reconstruction of upper and lower lip subunits is a complicated and elusive challenge.For patients affected by defects involving upper and lower lip subunits,a technique able to reconstruct both aesthetic u...Background:Reconstruction of upper and lower lip subunits is a complicated and elusive challenge.For patients affected by defects involving upper and lower lip subunits,a technique able to reconstruct both aesthetic units with matched colour,sufficient contours and similar texture would be ideal.In this study,we present our experience with upper and lower lip reconstruction using the pre-expanded bipedicled visor flap.Methods:From January 2014 to January 2017,12 male patients presenting with defects of the upper and lower lip subunits were treated using this surgical technique.After a period of expansion of the scalp flap of over 6 months,the bipedicled visor flap was raised from both the parietal regions and rotated to resurface the defect.Delay and section of the pedicle were then performed.Results:Twelve male patients with postburn scars aged 22 to 48 years(mean:34 years)were successfully treated with no major complications.The donor site was closed primarily in all cases.Subsequent flap debulking and minor revisions were performed under local anaesthesia between 6 and 12 months postoperatively.Conclusions:The pre-expanded bipedicled visor flap provides an effective and reliable option for upper and lower lip reconstruction with excellent colour and texture.It is feasible to achieve these results simultaneously from a single donor site by using a pre-expanded bipedicled visor flap.展开更多
目的总结应用邻近扩张皮瓣修复局部晚期乳腺癌术后胸壁软组织缺损的围手术期护理方法。方法对13例局部晚期乳腺癌（locally advanced breast cancer,LABC）患者接受新辅助化疗前使用水囊扩张器扩张皮瓣,4个疗程新辅助化疗后行乳腺癌改...目的总结应用邻近扩张皮瓣修复局部晚期乳腺癌术后胸壁软组织缺损的围手术期护理方法。方法对13例局部晚期乳腺癌（locally advanced breast cancer,LABC）患者接受新辅助化疗前使用水囊扩张器扩张皮瓣,4个疗程新辅助化疗后行乳腺癌改良根治术并一期修复手术后胸壁软组织缺损。治疗过程做好水囊扩张期间注射壶、腹壁扩张皮瓣和注水的护理工作,皮瓣修复后做好皮瓣生长护理工作。结果患者均顺利完成水囊扩张器植入术,并完整修复胸壁软组织缺损,未出现皮瓣坏死,随访6-24个月未发现肿瘤转移。结论扩张皮瓣修复LABC手术后胸壁软组织缺损围手术期间,扩张器植入后皮瓣扩张过程皮瓣护理及手术修复后创面护理是手术成功的重要因素。展开更多
基金National Natural Science Foundation of China,Award Number:81801918National Natural Science Foundation of China,Award Number:81772098。
文摘Background:Reconstruction of upper and lower lip subunits is a complicated and elusive challenge.For patients affected by defects involving upper and lower lip subunits,a technique able to reconstruct both aesthetic units with matched colour,sufficient contours and similar texture would be ideal.In this study,we present our experience with upper and lower lip reconstruction using the pre-expanded bipedicled visor flap.Methods:From January 2014 to January 2017,12 male patients presenting with defects of the upper and lower lip subunits were treated using this surgical technique.After a period of expansion of the scalp flap of over 6 months,the bipedicled visor flap was raised from both the parietal regions and rotated to resurface the defect.Delay and section of the pedicle were then performed.Results:Twelve male patients with postburn scars aged 22 to 48 years(mean:34 years)were successfully treated with no major complications.The donor site was closed primarily in all cases.Subsequent flap debulking and minor revisions were performed under local anaesthesia between 6 and 12 months postoperatively.Conclusions:The pre-expanded bipedicled visor flap provides an effective and reliable option for upper and lower lip reconstruction with excellent colour and texture.It is feasible to achieve these results simultaneously from a single donor site by using a pre-expanded bipedicled visor flap.
文摘目的总结应用邻近扩张皮瓣修复局部晚期乳腺癌术后胸壁软组织缺损的围手术期护理方法。方法对13例局部晚期乳腺癌（locally advanced breast cancer,LABC）患者接受新辅助化疗前使用水囊扩张器扩张皮瓣,4个疗程新辅助化疗后行乳腺癌改良根治术并一期修复手术后胸壁软组织缺损。治疗过程做好水囊扩张期间注射壶、腹壁扩张皮瓣和注水的护理工作,皮瓣修复后做好皮瓣生长护理工作。结果患者均顺利完成水囊扩张器植入术,并完整修复胸壁软组织缺损,未出现皮瓣坏死,随访6-24个月未发现肿瘤转移。结论扩张皮瓣修复LABC手术后胸壁软组织缺损围手术期间,扩张器植入后皮瓣扩张过程皮瓣护理及手术修复后创面护理是手术成功的重要因素。
