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首页> 外文期刊>JAMA facial plastic surgery >Local flaps: Cheek and lip reconstruction
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Local flaps: Cheek and lip reconstruction

机译：本地襟翼：脸颊和唇重建

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摘要

IMPORTANCE The reconstruction of cutaneous defects of the cheek and lip is a foundational topic for facial plastic and reconstructive surgeons. Facial defects have a significant impact on patient quality of life that has been well demonstrated. OBJECTIVE To review new findings that have an impact on the planning and understanding of local flaps for the reconstruction of cutaneous defects of the cheek and upper lip; recent research in facial soft-tissue anatomy and vascular anatomy is integrated into a discussion of local flap reconstruction. EVIDENCE REVIEW A Medline search of scientific literature was conducted, with an emphasis on 1980 to the present. Search terms included cheek; lip; reconstruction; vascular anatomy, soft-tissue anatomy, aging face, outcomes, and perforator flap. Cadaveric studies were specifically sought for anatomic review, and comparison group outcome studies are preferentially cited over clinical case series. FINDINGS Reconstruction of large medial defects of the cheek and upper lip is particularly challenging, and the V-Y subcutaneous tissue pedicle island advancement flap is valuable for repair of these defects. Outcomes analyses for local flap reconstruction are in high demand. Pedicled perforator flaps will likely see increased application for facial reconstruction in the near future. CONCLUSION AND RELEVANCE Detailed knowledge of the soft-tissue anatomy of the cheek and lip is critical to accurate surgical planning in local flap reconstruction.
机译：重要性脸颊和唇缘的重建是面部塑料和重建外科医生的基础话题。面部缺陷对患者患者的生活质量产生了重大影响。目的审查新的调查结果，对局部襟翼的规划和理解有影响，为脸颊和上唇的皮肤缺陷的重建;近期在面部软组织解剖学和血管解剖学中的研究综合成局部襟翼重建的讨论。证据审查了科学文学的Medline搜索，并强调1980年至今。搜索条件包括脸颊;唇;重建;血管解剖，软组织解剖，老化面，结果和穿孔瓣。尸体研究是专门寻求解剖检查，并优先在临床案例系列中引用比较组结果研究。调查结果重建脸颊和上唇的大内侧缺陷是特别具有挑战性的，并且V-Y皮下组织群岛岛促进皮瓣对这些缺陷的修复有价值。结果分析局部襟翼重建需求量很大。皮带纹穿孔襟翼可能会看到在不久的将来增加面部重建的应用。结论和相关性细胞和唇部软组织解剖学的详细知识对于准确的局部襟翼重建中的手术规划至关重要。

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