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目的:探讨上唇部皮肤软组织缺损修复的方法,评价鼻唇沟瓣在修复上唇部皮肤软组织的临床应用。方法:对于各种原因引起的上口唇部皮肤软组织缺损,鼻唇沟皮瓣以皮下蒂方式或局部旋转方式,根据损伤所在部位及大小,修复面部外伤所致的中小范围皮肤软组织缺损。结果:21例患者施行手术,皮瓣全部成活,修复后无明显瘢痕增生,外形恢复满意,皮瓣质地、色泽与周围皮肤接近。结论:鼻唇沟瓣取材方便,供区瘢痕隐蔽,畸形不明显,无收缩变形.是修复上口唇部皮肤组织缺损的较理想方法。
OBJECTIVE: To investigate the method of repairing skin and soft tissue defects in the upper lip and to evaluate the clinical application of the nasolabial fissure flap in repairing the skin and soft tissues of the upper lip. Methods: For various reasons caused by the upper lip lip skin and soft tissue defects, nasolabial fold flap to the subcutaneous pedicle or local rotation mode, according to the location and size of the injury, repair facial trauma caused by small and medium-scale skin and soft tissue defects. RESULTS: Twenty-one patients underwent surgery. All the flaps survived. There was no obvious scar hyperplasia after repair. The shape of the flap recovered satisfactorily, and the texture and color of the flaps were close to the surrounding skin. Conclusion: The nasolabial foramina flap is easy to take, it is easy for the scar in the area to be concealed, the deformity is not obvious and there is no shrinkage deformation, which is an ideal method to repair the skin defect of the upper lip.