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아랫입술의 편평세포암 환자에서 아랫 입술 폭 손실을 최소화하고 입벌림 기능을 보존하기 위한 새로운 점막지붕 피판 재건술

Mucosal Roofing Flap Reconstruction to Minimize Horizontal Lip Length Loss and Preserve Mouth Opening in Lower Lip Squamous Cell Carcinoma

  • 김종협 (건양대학교병원 성형외과) ;
  • 고인창 (건양대학교병원 성형외과) ;
  • 임수연 (건양대학교병원 성형외과) ;
  • 김훈 (건양대학교병원 성형외과)
  • Jong Hyup Kim (Department of Plastic and Reconstructive Surgery, Myunggok Medical Research Institute, Konyang University Hospital, College of Medicine, Konyang University) ;
  • In Chang Koh (Department of Plastic and Reconstructive Surgery, Myunggok Medical Research Institute, Konyang University Hospital, College of Medicine, Konyang University) ;
  • Soo Yeon Lim (Department of Plastic and Reconstructive Surgery, Myunggok Medical Research Institute, Konyang University Hospital, College of Medicine, Konyang University) ;
  • Hoon Kim (Department of Plastic and Reconstructive Surgery, Myunggok Medical Research Institute, Konyang University Hospital, College of Medicine, Konyang University)
  • 투고 : 2023.06.17
  • 심사 : 2023.08.29
  • 발행 : 2023.11.30

초록

Lower lip reconstruction in cases with a full-thickness defect over one-third of the vermilion is challenging. Numerous conventional techniques have been applied with unsatisfactory surgical outcomes because of microstomia and oral commissure blunting due to shortened horizontal lip length. Herein, we present a case in which a full-thickness lower lip defect of more than one-third of the horizontal lip length was covered with a novel mucosal roofing flap reconstruction to minimize the loss of horizontal lip length and to preserve mouth opening. No recurrences or metastases were observed during 3 years and 6 months of follow-up, with horizontal lower lip length maintained and mouth opening of 2.5 finger breadths.

키워드

참고문헌

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