舌背を基部とする舌縁弁で再建を行った下唇癌の1例

Among the anatomical elements of the face, the lips, especially the red border, have a unique morphology and color tone ; therefore, reconstruction of a lip defect is challenging from both functional as well as aesthetic viewpoints. We present a case of lower lip carcinoma in which reconstruction wa...

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Published in日本口腔外科学会雑誌 Vol. 60; no. 8; pp. 490 - 493
Main Authors 下松, 孝太, 比地岡, 浩志, 石田, 喬之, 松永, 和秀, 中村, 典史, 野添, 悦郎
Format Journal Article
LanguageJapanese
Published 社団法人 日本口腔外科学会 20.08.2014
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ISSN0021-5163
2186-1579
DOI10.5794/jjoms.60.490

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Abstract Among the anatomical elements of the face, the lips, especially the red border, have a unique morphology and color tone ; therefore, reconstruction of a lip defect is challenging from both functional as well as aesthetic viewpoints. We present a case of lower lip carcinoma in which reconstruction was performed using a lateral tongue flap based on the tongue dorsum with a good outcome. The patient was a 72-year-old man who complained of a sore left lower lip. A biopsy revealed squamous cell carcinoma, and partial resection was performed. The resection range was about one third of the left side of the lower lip, including the orbicularis oris muscle and preserving the left corner of the mouth. After tumor resection, the left lateral margin of the tongue was reflected based on the dorsum of the tongue and mounted on the corresponding half of the existing lip border. Three weeks after initial operation, the flap was surgically detached. Presently, 1 year has elapsed, and there has been no sign of recurrence; the color, shape, and lip-closure are good. These findings suggested that reconstruction using a lateral tongue flap for the treatment of a defect primarily affecting the lower red lip and involving the muscle layer resulted in good blood flow and excellent morphological and functional recovery.
AbstractList Among the anatomical elements of the face, the lips, especially the red border, have a unique morphology and color tone ; therefore, reconstruction of a lip defect is challenging from both functional as well as aesthetic viewpoints. We present a case of lower lip carcinoma in which reconstruction was performed using a lateral tongue flap based on the tongue dorsum with a good outcome. The patient was a 72-year-old man who complained of a sore left lower lip. A biopsy revealed squamous cell carcinoma, and partial resection was performed. The resection range was about one third of the left side of the lower lip, including the orbicularis oris muscle and preserving the left corner of the mouth. After tumor resection, the left lateral margin of the tongue was reflected based on the dorsum of the tongue and mounted on the corresponding half of the existing lip border. Three weeks after initial operation, the flap was surgically detached. Presently, 1 year has elapsed, and there has been no sign of recurrence; the color, shape, and lip-closure are good. These findings suggested that reconstruction using a lateral tongue flap for the treatment of a defect primarily affecting the lower red lip and involving the muscle layer resulted in good blood flow and excellent morphological and functional recovery.
Author 中村, 典史
比地岡, 浩志
松永, 和秀
野添, 悦郎
石田, 喬之
下松, 孝太
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References 8) Yano K, Hosokawa K, et al : Combined tongue flap and V-Y advancement flap for lower lip defects. Br J Plast Surg 58: 258-262, 2005.
10) 清川兼輔, 高木美香子 :交叉口唇弁を中心とした局所皮弁による口唇全層欠損の再建術. 形成外科 51: 627-633, 2008.
4) Yamauchi M, Yotsuyanagi T, et al : Estlander flap combined with an extended upper lip flap technique for large defects of lower lip with oral commissure. J Plast Reconstr Aesthet Surg 62: 997-1003, 2009.
6) Goldstein MH: A tissue-expanding vermilion myocutaneous flap for lip repair. Plast Reconstr Surg 73: 768-770, 1984.
11) Suda T, Yotsuyanagi T, et al : Reconstruction of a red lip that has a defect in one half, using the remaining red lip. J Plast Reconstr Aesthet Surg 62: 570-573, 2009.
12) Nakamura N, Kawano S, et al : An Alternative method for vermilion reconstruction after resection of hemangiomas of the lip. J Oral Maxillifac Surg 63: 1239-1243, 2005.
9) McGregor IA: The tongue flap in lip surgery. Br J Plast Surg 19: 253-263, 1966.
5) Karapandzic M: Reconstruction of lip defects by local arterial flaps. Br J Plast Surg 27: 93-97, 1974.
14) 小佐野仁志, 鈴木英正, 他:舌弁が口唇機能の改善に有効であった口唇外傷の1例. 自治医科大学医学部紀要 26: 85-90, 2003.
2) 柏 克彦, 小林誠一郎, 他 : 口唇欠損に対する隣接組織による再建法. 形成外科 51: 635-644, 2008.
15) 牧口貴哉, 田原真也:遊離前腕皮弁による口唇・口唇周囲再建. 形成外科 51: 645-651, 2008.
13) Cosman B, Gong K, et al : Horizontal cross-lip flap with pedicle at commissure. Plast Reconstr Surg 41: 273-275, 1968.
7) Bakamjian V: Use of tongue flaps in lower-lip reconstruction. Br J Plast Surg 17: 76-87, 1964.
3) Ana B, Pedro A, et al : Karapandzic flap and Bernard- Burrow-Webster flap for reconstruction of the lower lip. An Bras Dermatol 86: 156-159, 2011.
1) Mohammed AR: Lower Lip Reconstruction after Tumor Resection; a Single Author's Experience with Various Methods. J Egypt Natl Canc Inst 18: 323-333, 2006.
References_xml – reference: 10) 清川兼輔, 高木美香子 :交叉口唇弁を中心とした局所皮弁による口唇全層欠損の再建術. 形成外科 51: 627-633, 2008.
– reference: 15) 牧口貴哉, 田原真也:遊離前腕皮弁による口唇・口唇周囲再建. 形成外科 51: 645-651, 2008.
– reference: 6) Goldstein MH: A tissue-expanding vermilion myocutaneous flap for lip repair. Plast Reconstr Surg 73: 768-770, 1984.
– reference: 12) Nakamura N, Kawano S, et al : An Alternative method for vermilion reconstruction after resection of hemangiomas of the lip. J Oral Maxillifac Surg 63: 1239-1243, 2005.
– reference: 4) Yamauchi M, Yotsuyanagi T, et al : Estlander flap combined with an extended upper lip flap technique for large defects of lower lip with oral commissure. J Plast Reconstr Aesthet Surg 62: 997-1003, 2009.
– reference: 11) Suda T, Yotsuyanagi T, et al : Reconstruction of a red lip that has a defect in one half, using the remaining red lip. J Plast Reconstr Aesthet Surg 62: 570-573, 2009.
– reference: 2) 柏 克彦, 小林誠一郎, 他 : 口唇欠損に対する隣接組織による再建法. 形成外科 51: 635-644, 2008.
– reference: 7) Bakamjian V: Use of tongue flaps in lower-lip reconstruction. Br J Plast Surg 17: 76-87, 1964.
– reference: 1) Mohammed AR: Lower Lip Reconstruction after Tumor Resection; a Single Author's Experience with Various Methods. J Egypt Natl Canc Inst 18: 323-333, 2006.
– reference: 3) Ana B, Pedro A, et al : Karapandzic flap and Bernard- Burrow-Webster flap for reconstruction of the lower lip. An Bras Dermatol 86: 156-159, 2011.
– reference: 5) Karapandzic M: Reconstruction of lip defects by local arterial flaps. Br J Plast Surg 27: 93-97, 1974.
– reference: 9) McGregor IA: The tongue flap in lip surgery. Br J Plast Surg 19: 253-263, 1966.
– reference: 13) Cosman B, Gong K, et al : Horizontal cross-lip flap with pedicle at commissure. Plast Reconstr Surg 41: 273-275, 1968.
– reference: 14) 小佐野仁志, 鈴木英正, 他:舌弁が口唇機能の改善に有効であった口唇外傷の1例. 自治医科大学医学部紀要 26: 85-90, 2003.
– reference: 8) Yano K, Hosokawa K, et al : Combined tongue flap and V-Y advancement flap for lower lip defects. Br J Plast Surg 58: 258-262, 2005.
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SubjectTerms 下唇再建
扁平上皮癌
舌縁弁
Title 舌背を基部とする舌縁弁で再建を行った下唇癌の1例
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