دوره 5، شماره 1 - ( 10-1394 )                   جلد 5 شماره 1 صفحات 15-25 | برگشت به فهرست نسخه ها

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Ebrahimi A, Kalantar Motamedi M H, Ebrahimi A, Kazemi M, Shams A, Hashemzadeh H. Lip Reconstruction after Tumor Ablation. wjps. 2016; 5 (1) :15-25
URL: http://wjps.ir/article-1-138-fa.html
Lip Reconstruction after Tumor Ablation. مجله جهانی جراحی پلاستیک. 1394; 5 (1) :15-25

URL: http://wjps.ir/article-1-138-fa.html


چکیده:   (4426 مشاهده)

Approximately 25% of all oral cavity carcinomas involve the lips, and the primary management of these lesions is complete surgical resection. Loss of tissue in the lips after resection is treated with a variety of techniques, depending on the extension and location of the defect.

Here we review highly accepted techniques of lip reconstruction and some of new trials with significant clinical results. Reconstruction choice is primarily depend to size of the defect, localization of defect, elasticity of tissues. But patient’s age, comorbidities, and motivation are also important. According to the defect location and size, different reconstruction methods can be used.  For defects involved less than 30% of lips, primary closures are sufficient. In defects with 35–70% lip involvement, the Karapandzic, Abbe, Estlander, McGregor or Gillies’ fan flaps or their modifications can be used. When lip remaining tissues are insufficient, cheek tissue can be used in Webster and Bernard advancement flaps and their various modifications. Deltopectoral or radial forearm free flaps can be options for large defects of the lip extending to the Jaws. To achieve best functional and esthetic results, surgeons should be able to choose most appropriate reconstruction method. Considering defectschr('39') size and location, patientschr('39') expects and surgeonchr('39')s ability and knowledge, a variety of flaps are presented in order to reconstruct defects resulted from tumor ablation. Itchr('39')s necessary for surgeons to trace the recent innovations in lip reconstruction to offer best choices to patients.

     
نوع مطالعه: مروری | موضوع مقاله: تخصصي
دریافت: 1393/10/10 | پذیرش: 1394/10/7 | انتشار: 1394/10/7

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