進行性顔面半側萎縮症患者の上唇変形をCross-lip vermilion flapで再建した1例
Progressive hemifacial atrophy is a disease in which the soft and hard tissues of the unilateral trigeminal nerve domain progressively degenerate. We describe our experience with a patient with unilateral lip atrophy due to progressive hemifacial atrophy who underwent unilateral reconstruction of th...
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| Published in | 日本口腔外科学会雑誌 Vol. 62; no. 3; pp. 134 - 138 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
社団法人 日本口腔外科学会
20.03.2016
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-5163 2186-1579 |
| DOI | 10.5794/jjoms.62.134 |
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| Abstract | Progressive hemifacial atrophy is a disease in which the soft and hard tissues of the unilateral trigeminal nerve domain progressively degenerate. We describe our experience with a patient with unilateral lip atrophy due to progressive hemifacial atrophy who underwent unilateral reconstruction of the upper lip. The patient was a 22-year-old woman. She had difficulty closing her mouth due to the unilateral lip atrophy. We performed reconstruction of the upper lip on the atrophic side with a cross-lip vermilion flap of the non-atrophic lower lip and released the flap 14 days postoperatively. Viability of the flap was favorable postoperatively. Slight drooping of the upper lip on the affected side gradually developed after the operation. Subsequently, we performed minor correction of the upper lip on the affected side 5 months postoperatively. Atrophy and deformity of the upper lip on the affected side were not evident, and the form of the lip and function of lip closure on the affected side were satisfactory 2 years postoperatively. To correct the form and function in the presence of upper lip atrophy, the use of a cross-lip vermilion flap of the non-atrophic lower lip could become a useful technique for reconstruction. |
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| AbstractList | Progressive hemifacial atrophy is a disease in which the soft and hard tissues of the unilateral trigeminal nerve domain progressively degenerate. We describe our experience with a patient with unilateral lip atrophy due to progressive hemifacial atrophy who underwent unilateral reconstruction of the upper lip. The patient was a 22-year-old woman. She had difficulty closing her mouth due to the unilateral lip atrophy. We performed reconstruction of the upper lip on the atrophic side with a cross-lip vermilion flap of the non-atrophic lower lip and released the flap 14 days postoperatively. Viability of the flap was favorable postoperatively. Slight drooping of the upper lip on the affected side gradually developed after the operation. Subsequently, we performed minor correction of the upper lip on the affected side 5 months postoperatively. Atrophy and deformity of the upper lip on the affected side were not evident, and the form of the lip and function of lip closure on the affected side were satisfactory 2 years postoperatively. To correct the form and function in the presence of upper lip atrophy, the use of a cross-lip vermilion flap of the non-atrophic lower lip could become a useful technique for reconstruction. |
| Author | 松本, 幸三 中村, 典史 久米, 健一 松永, 和秀 濱田, 傑 岐部, 俊郎 |
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| References | 2) 高橋健次郎， 中村允也， 他：進行性顔面半側萎縮症3例について．日口外誌 3: 19-22, 1957. 1) Crikelair GF, Moss HL, et al : Facial hemiatrophy. Plast Reconstr Surg 29: 5-13, 1962. 11) 伊藤輝夫， 曾我宏世， 他：進行性顔面半側萎縮症の1例．口科誌 24: 308-318, 1975. 13) 丸茂町子， 菅原由美子， 他：進行性進行性顔面半側萎縮症の1例．口科誌 41: 731-738, 1992. 6) 栗橋克昭， 山本悦生， 他：進行性顔面半側萎縮症（Romberg病）−症例と文献的考察−．耳鼻臨床68: 891-897, 1975. 4) 関堂 充， 小山明彦， 他：進行性顔面半側萎縮症（ロンバーグ病）に対する遊離皮弁移植法−術後の修正について−．形成外科 51: 1291-1297, 2008. 12) 柳 治夫， 西嶋克巳， 他：進行性顔面半側萎縮症に随伴した舌半側萎縮の1例．口科誌 31: 426-429, 1982. 8) 清水史明， 佐藤精一， 他：画像3次元化ソフトを用いて治療を行った進行性顔面半側萎縮症の1例．日シュミレーション外科誌 17: 61-64, 2009. 3) 山藤絵理， 斎藤 誠， 他：画像解析を行った進行性顔面半側萎縮症の1例．日口外誌 29: 167-170, 1983. 10) 下松孝太， 比地岡浩志， 他：舌背を基部とする舌縁弁で再建を行った下唇癌の1例．日口外誌 60: 490-493, 2014. 7) 朝戸裕貴：顔面片側萎縮症．形成外科46（増刊）：5118-5119, 2003. 9) Henry K and Kawamoto Jr : Correction of major defects of the vermilion with a cross-lip flap. Plast Reconstr Surg 64: 315-318, 1979. 14) Bard C, Kinman G, et al : Horizontal cross-lip flap with pedicle at commissure. Plast Reconstr Surg 41: 273-275, 1968. 5) 吉村浩太郎：顔面変性疾患に対する脂肪注入法．形成外科 51: 1299-1309, 2008. |
| References_xml | – reference: 6) 栗橋克昭， 山本悦生， 他：進行性顔面半側萎縮症（Romberg病）−症例と文献的考察−．耳鼻臨床68: 891-897, 1975. – reference: 1) Crikelair GF, Moss HL, et al : Facial hemiatrophy. Plast Reconstr Surg 29: 5-13, 1962. – reference: 2) 高橋健次郎， 中村允也， 他：進行性顔面半側萎縮症3例について．日口外誌 3: 19-22, 1957. – reference: 3) 山藤絵理， 斎藤 誠， 他：画像解析を行った進行性顔面半側萎縮症の1例．日口外誌 29: 167-170, 1983. – reference: 12) 柳 治夫， 西嶋克巳， 他：進行性顔面半側萎縮症に随伴した舌半側萎縮の1例．口科誌 31: 426-429, 1982. – reference: 13) 丸茂町子， 菅原由美子， 他：進行性進行性顔面半側萎縮症の1例．口科誌 41: 731-738, 1992. – reference: 4) 関堂 充， 小山明彦， 他：進行性顔面半側萎縮症（ロンバーグ病）に対する遊離皮弁移植法−術後の修正について−．形成外科 51: 1291-1297, 2008. – reference: 14) Bard C, Kinman G, et al : Horizontal cross-lip flap with pedicle at commissure. Plast Reconstr Surg 41: 273-275, 1968. – reference: 11) 伊藤輝夫， 曾我宏世， 他：進行性顔面半側萎縮症の1例．口科誌 24: 308-318, 1975. – reference: 7) 朝戸裕貴：顔面片側萎縮症．形成外科46（増刊）：5118-5119, 2003. – reference: 8) 清水史明， 佐藤精一， 他：画像3次元化ソフトを用いて治療を行った進行性顔面半側萎縮症の1例．日シュミレーション外科誌 17: 61-64, 2009. – reference: 5) 吉村浩太郎：顔面変性疾患に対する脂肪注入法．形成外科 51: 1299-1309, 2008. – reference: 9) Henry K and Kawamoto Jr : Correction of major defects of the vermilion with a cross-lip flap. Plast Reconstr Surg 64: 315-318, 1979. – reference: 10) 下松孝太， 比地岡浩志， 他：舌背を基部とする舌縁弁で再建を行った下唇癌の1例．日口外誌 60: 490-493, 2014. |
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| SubjectTerms | 上唇再建 交差赤唇弁 進行性顔面半側萎縮症 |
| Title | 進行性顔面半側萎縮症患者の上唇変形をCross-lip vermilion flapで再建した1例 |
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