Journal of Prevention and Treatment for Stomatological Diseases ›› 2021, Vol. 29 ›› Issue (9): 604-610.DOI: 10.12016/j.issn.2096-1456.2021.09.005
• Clinical Study • Previous Articles Next Articles
ZHANG Chongchong1,2(),XIN Yuqi1,LIU Maopeng1,YUAN Hong1,CAO Zhongyi2,ZHANG Jie2(
)
Received:
2021-02-05
Online:
2021-09-20
Published:
2021-06-18
Contact:
Jie ZHANG
Supported by:
张冲冲1,2(),辛雨琪1,刘茂朋1,苑洪1,曹钟义2,章杰2(
)
通讯作者:
章杰
作者简介:
张冲冲,住院医师,硕士,Email: 基金资助:
CLC Number:
ZHANG Chongchong,XIN Yuqi,LIU Maopeng,YUAN Hong,CAO Zhongyi,ZHANG Jie. Comparison of clinical effects of the Yu flap and the Karapandzic flap in repairing greater than 2/3 lower lip defects[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2021, 29(9): 604-610.
张冲冲,辛雨琪,刘茂朋,苑洪,曹钟义,章杰. Yu瓣和Karapandzic瓣修复下唇2/3以上缺损的临床效果比较[J]. 口腔疾病防治, 2021, 29(9): 604-610.
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Item | Scale | Score | |
---|---|---|---|
Aesthetic valuation | Symmetry | Asymmetry at rest | 1 |
Symmetry rest/asymmetry function | 2 | ||
Symmetry rest/symmetry function | 3 | ||
Stoma | Severe microstomy | 1 | |
Moderate microstomy | 2 | ||
Lightmicrostomy | 3 | ||
Normal | 4 | ||
Exposure of vermilion | Absence of exposure | 1 | |
Exposure < superior or contralateral | 2 | ||
Exposure ≥ superior or = contralateral | 3 | ||
Functional valuation | Sensory function(Discriminative sensitivity between 2 points (mm)) | >20 mm | 1 |
>10 mm | 2 | ||
>5 mm | 3 | ||
≤ 5 mm | 4 | ||
Motor function | Saliva lost at rest | 1 | |
No saliva lostat rest/liquid lost while drinking | 2 | ||
No saliva lostat rest/no liquid lost while drinking | 3 | ||
Subjective valuation | Dissatisfied | 1 | |
Partly satisfied | 2 | ||
Basicly satisfied | 3 | ||
Highly satisfied | 4 |
Table 1 Clinical repair effect evaluation table
Item | Scale | Score | |
---|---|---|---|
Aesthetic valuation | Symmetry | Asymmetry at rest | 1 |
Symmetry rest/asymmetry function | 2 | ||
Symmetry rest/symmetry function | 3 | ||
Stoma | Severe microstomy | 1 | |
Moderate microstomy | 2 | ||
Lightmicrostomy | 3 | ||
Normal | 4 | ||
Exposure of vermilion | Absence of exposure | 1 | |
Exposure < superior or contralateral | 2 | ||
Exposure ≥ superior or = contralateral | 3 | ||
Functional valuation | Sensory function(Discriminative sensitivity between 2 points (mm)) | >20 mm | 1 |
>10 mm | 2 | ||
>5 mm | 3 | ||
≤ 5 mm | 4 | ||
Motor function | Saliva lost at rest | 1 | |
No saliva lostat rest/liquid lost while drinking | 2 | ||
No saliva lostat rest/no liquid lost while drinking | 3 | ||
Subjective valuation | Dissatisfied | 1 | |
Partly satisfied | 2 | ||
Basicly satisfied | 3 | ||
Highly satisfied | 4 |
Case No. | Age(y) | Gender | Defect(%) | Aesthetic valuation | Functional valuation | Subjective valuation | |||
---|---|---|---|---|---|---|---|---|---|
Symmetry | Stoma | Exposition | Sensation | Motion | |||||
1 | 56 | Female | 85 | 3 | 3 | 2 | 3 | 3 | 4 |
2 | 75 | Male | 75 | 3 | 4 | 3 | 3 | 2 | 4 |
3 | 69 | Male | 70 | 2 | 4 | 3 | 3 | 3 | 4 |
4 | 85 | Male | 80 | 2 | 4 | 2 | 2 | 2 | 4 |
5 | 81 | Male | 75 | 3 | 4 | 3 | 3 | 3 | 4 |
Table 2 Postoperative defects and evaluation of the reconstruction effects of 5 patients repaired with the Yu flap
Case No. | Age(y) | Gender | Defect(%) | Aesthetic valuation | Functional valuation | Subjective valuation | |||
---|---|---|---|---|---|---|---|---|---|
Symmetry | Stoma | Exposition | Sensation | Motion | |||||
1 | 56 | Female | 85 | 3 | 3 | 2 | 3 | 3 | 4 |
2 | 75 | Male | 75 | 3 | 4 | 3 | 3 | 2 | 4 |
3 | 69 | Male | 70 | 2 | 4 | 3 | 3 | 3 | 4 |
4 | 85 | Male | 80 | 2 | 4 | 2 | 2 | 2 | 4 |
5 | 81 | Male | 75 | 3 | 4 | 3 | 3 | 3 | 4 |
Case No. | Age(y) | Gender | Defect(%) | Aesthetic valuation | Functional valuation | Subjective valuation | |||
---|---|---|---|---|---|---|---|---|---|
Symmetry | Stoma | Exposition | Sensation | Motion | |||||
1 | 58 | Female | 70 | 3 | 3 | 3 | 3 | 3 | 4 |
2 | 73 | Male | 80 | 2 | 2 | 2 | 3 | 3 | 4 |
3 | 76 | Male | 75 | 3 | 3 | 3 | 3 | 3 | 4 |
4 | 87 | Male | 95 | 2 | 2 | 2 | 2 | 2 | 3 |
5 | 79 | Male | 85 | 3 | 2 | 2 | 3 | 2 | 4 |
Table 3 Postoperative defects and evaluation of the reconstruction effects of 5 patients repaired with the Karapandzic flap
Case No. | Age(y) | Gender | Defect(%) | Aesthetic valuation | Functional valuation | Subjective valuation | |||
---|---|---|---|---|---|---|---|---|---|
Symmetry | Stoma | Exposition | Sensation | Motion | |||||
1 | 58 | Female | 70 | 3 | 3 | 3 | 3 | 3 | 4 |
2 | 73 | Male | 80 | 2 | 2 | 2 | 3 | 3 | 4 |
3 | 76 | Male | 75 | 3 | 3 | 3 | 3 | 3 | 4 |
4 | 87 | Male | 95 | 2 | 2 | 2 | 2 | 2 | 3 |
5 | 79 | Male | 85 | 3 | 2 | 2 | 3 | 2 | 4 |
Group | Symmetry | Stoma | Exposition | Sensation | Motion | Subjective valuation |
---|---|---|---|---|---|---|
Karapandzic flap | 2.60 ± 0.55 | 2.40 ± 0.55 | 2.40 ± 0.55 | 2.80 ± 0.45 | 2.60 ± 0.55 | 3.80 ± 0.45 |
Yu flap | 2.60 ± 0.55 | 3.80 ± 0.45 | 2.60 ± 0.55 | 2.80 ± 0.45 | 2.60 ± 0.55 | 4.00 ± 0.00 |
t | 0.00 | 4.43 | 0.58 | 0.00 | 0.00 | 1.00 |
P | >0.05 | <0.05 | >0.05 | >0.05 | >0.05 | >0.05 |
Table 4 Comparison of the clinical effects of the Karapandzic flap group and the Yu flap group
Group | Symmetry | Stoma | Exposition | Sensation | Motion | Subjective valuation |
---|---|---|---|---|---|---|
Karapandzic flap | 2.60 ± 0.55 | 2.40 ± 0.55 | 2.40 ± 0.55 | 2.80 ± 0.45 | 2.60 ± 0.55 | 3.80 ± 0.45 |
Yu flap | 2.60 ± 0.55 | 3.80 ± 0.45 | 2.60 ± 0.55 | 2.80 ± 0.45 | 2.60 ± 0.55 | 4.00 ± 0.00 |
t | 0.00 | 4.43 | 0.58 | 0.00 | 0.00 | 1.00 |
P | >0.05 | <0.05 | >0.05 | >0.05 | >0.05 | >0.05 |
Figure 1 Application of the bilateral Yu flap to repair postoperative defects in lower lip vascular malformation a: bilateral Yu flaps were designed; b: “heart-shaped” resection of vascular malformation; c: closure of the defect; d: mouth at rest 12 months after reconstruction; e: mouthopening 12 months after reconstruction
Figure 2 Application of the Karapandzic flap to repair postoperative defects in lower lip carcinoma a: preoperative image; b: rectangular resection of the tumor; c: closure of the defect; d: immediate postoperative image; e: mouth at rest 12 months after reconstruction; f: mouthopening 12 months after reconstruction
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