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患者男,51岁。因下唇肿物3个月,于1988年9月9日入院。体查:一般情况均正常,于下唇中部见有3.0×2.0×0.7cm隆起肿物,表面呈菜花样改变,见有部分坏死和少许渗血。病理报告为唇鳞癌。于1988年9月16日在局麻下行下唇肿物切除术,距肿瘤缘0.5cm方形切除。于下唇创腔底边断端向两侧延长切口。然后,再将两侧切口断端向中间拉拢,逐层缝合口腔粘膜、肌层及皮肤,并固定于适宜位置上,使缺损缩小约为1/2。同时设计上唇移植唇瓣,按下唇方形缺损的长度和宽度的1/2略大,全层切开上唇;蒂侧的切口至唇红缘为止。最后,形成一个带有动脉的蒂部,并位
Male patient, 51 years old. He was admitted to hospital on September 9, 1988 because he had a lower lip mass for 3 months. Physical examination: In normal conditions, a 3.0×2.0×0.7 cm uplift mass was seen in the middle of the lower lip, and the surface was cauliflower-like. There was partial necrosis and a little bleeding. The pathology report was lip squamous cell carcinoma. On September 16, 1988, he underwent a lower lip resection under local anesthesia and was removed 0.5 cm square from the edge of the tumor. In the bottom of the lower lip wound cavity to extend the incision to both sides. Then, the cut ends of both sides of the incision were pulled to the middle, and the oral mucous membrane, muscle layer and skin were sutured layer by layer and fixed in a suitable position so that the defect was reduced to approximately 1/2. At the same time design upper lip transplant lip, press the lip square defect length and width of 1/2 slightly larger, full-thickness cut the upper lip; pedicle side of the incision to the lip margin so far. Finally, a pedicle with arteries is formed.