岛状蒂鼻唇沟皮瓣临床应用解剖及其在修复T1-T2期口底癌术后缺损中的应用

doi:10.19439/j.sjos.2025.03.008

上海口腔医学 ›› 2025, Vol. 34 ›› Issue (3): 267-270.doi: 10.19439/j.sjos.2025.03.008

岛状蒂鼻唇沟皮瓣临床应用解剖及其在修复T1-T2期口底癌术后缺损中的应用

周雪¹, 王卫红¹, 罗正鹏², 邹智荣³, 刘屿¹, 张键¹

1.昆明医科大学附属口腔医院口腔颌面外科,云南昆明 650106;
2.云县人民医院口腔科,云南临沧 675800;
3.昆明医科大学基础医学院,云南昆明 650500

收稿日期:2024-02-18 修回日期:2024-05-27 出版日期:2025-06-25 发布日期:2025-06-24
通讯作者: 王卫红,E-mail：wangweihong@kmmu.edu.cn
作者简介:周雪（1996-）,女,在读硕士研究生, E-mail：zhoux815@163.com
基金资助:
云南省卫生健康委员会医学领军人才项目（L-2018010）; 云南省兴滇英才-名医项目（XDYC-MY-2022-0052）

Clinical anatomy of the islanded pedicled nasolabial flap and its application in reconstruction of postoperative defects of T1-T2 stage carcinoma of the floor of mouth

Zhou Xue¹, Wang Weihong¹, Luo Zhengpeng², Zhou Zhirong³, Liu Yu¹, Zhang Jian¹

1. Department of Oral and Maxillofacial Surgery, Affiliated Stomatology Hospital, Kunming Medical University. Kunming 650106;
2. Department of Stomatology, Yunxian People's Hospital. Lincang 675800;
3. School of Basic Medical Sciences, Kunming Medical University. Kunming 650500,Yunnan Province, China

Received:2024-02-18 Revised:2024-05-27 Online:2025-06-25 Published:2025-06-24

摘要/Abstract

摘要： 目的: 探讨面动脉为血管蒂的岛状蒂鼻唇沟皮瓣的解剖特征及其在修复T1-T2期口底癌术后缺损中的效果。方法: 对8具经10%甲醛固定的国人成年标本行颌面部解剖,利用Image-Pro Plus 6.0软件分析解剖图片。对2015年8月—2024年1月使用岛状蒂鼻唇沟皮瓣修复T1-T2期口底癌术后缺损的9例患者进行回顾性分析。结果: 下颌骨下缘面动脉起始外径为（2.05±0.98） mm,面动脉主干走行于面动脉起始处至鼻翼的连线,长度为（90.89±3.79） mm。面静脉主干走行于面动脉起始处至内眦的连线,长度为（118.10±2.57） mm。面动脉与面静脉间隔最远距离为（25.92±1.96） mm。9例患者术后恢复良好,无明显并发症。结论: 使用岛状蒂鼻唇沟皮瓣修复T1-T2期中老年口底癌术后缺损,临床效果满意。

关键词: 口底癌, 鼻唇沟皮瓣, 尸体解剖, Image-Pro Plus 6.0软件

Abstract: PURPOSE: To investigate the anatomic features of nasolabial flap pedicled with a facial artery and its application in repairing the defect after surgery of stage T1-T2 carcinoma of the floor of mouth. METHODS: Dissections of the maxillofacial region were performed on 8 specimens of national adults fixed with 10% formaldehyde, and the anatomical pictures were analyzed using Image-Pro Plus 6.0 software. Nine patients were retrospectively reviewed from August 2015 to January 2024 for the repair of postoperative defects of stage T1-T2 carcinoma of the floor of mouth using nasolabial fold flaps with a facial artery perforator branch as vascular pedicle. RESULTS: The external diameter of the facial artery at the lower border of the mandible was (2.05±0.98) mm. The main trunk of the facial artery traveled along the line from the beginning of the facial artery to the nasal blade and had a length of (90.89±3.79) mm. The main facial vein run along the line from the beginning of the facial artery to the medial canthus, and its length is (118.10±2.57) mm. The longest distance between the facial artery and the facial vein was (25.92±1.96) mm. Nine patients had a favourable postoperative outcomes without obvious complications. CONCLUSIONS: Repair of postoperative defects in middle-aged and elderly patients with T1-T2 stage carcinoma of the floor of mouth using a nasolabial fold flap can achieve satisfactory clinical outcomes.

Key words: Carcinoma of the floor of mouth, Islanded pedicled nasolabial flap, Cadaveric dissection, Image-Pro Plus 6.0 software

中图分类号:

R739.8
R322

周雪, 王卫红, 罗正鹏, 邹智荣, 刘屿, 张键. 岛状蒂鼻唇沟皮瓣临床应用解剖及其在修复T1-T2期口底癌术后缺损中的应用[J]. 上海口腔医学, 2025, 34(3): 267-270.

Zhou Xue, Wang Weihong, Luo Zhengpeng, Zhou Zhirong, Liu Yu, Zhang Jian. Clinical anatomy of the islanded pedicled nasolabial flap and its application in reconstruction of postoperative defects of T1-T2 stage carcinoma of the floor of mouth[J]. Shanghai Journal of Stomatology, 2025, 34(3): 267-270.

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岛状蒂鼻唇沟皮瓣临床应用解剖及其在修复T1-T2期口底癌术后缺损中的应用

Clinical anatomy of the islanded pedicled nasolabial flap and its application in reconstruction of postoperative defects of T1-T2 stage carcinoma of the floor of mouth

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