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患者李某某,男,18岁,住院号100504,右上唇缺损18年。出生两个月时因患“走马疳”出现高烧、牙龈和右上唇糜烂坏死,经消炎等治疗后坏死组织脱落遗留组织缺损,影响美观,要求治疗。颌面部检查:右上唇缺损面积1.1×2Cm~2,鼻底组织缺损,牙、龈和鼻甲外露,右侧鼻唇沟至口角区为疤痕组织,面积2.3×2Cm;由于疤痕挛缩右口角抬高0.9Cm,右鼻翼下垂0.3Cm,右侧口角残留红唇粘膜干裂,32⊥12缺牙,(?)扭转唇向移位,牙槽嵴低平。诊断:右上唇缺损畸形。治疗:全麻下行右上唇缺损修复术和右三角胸皮瓣移植术.先作内衬缝合:分
Lee Moumou patients, male, 18 years old, hospital number 100,504, the right upper lip defect 18 years. Two months after birth due to suffering from “Stallions” high fever, gums and right upper lip erosion necrosis, necrosis after exfoliation and other treatment left over tissue defects, affecting the appearance, requiring treatment. Maxillofacial examination: the right upper lip defect area of 1.1 × 2Cm ~ 2, nasal tissue defect, teeth, gingival and nasal exposed, the right nasolabial fold to mouth area scar tissue area of 2.3 × 2Cm; scar contracture due to the right bule High 0.9Cm, the right atrial appendage 0.3Cm, left lip mucosa dry mouth, 32⊥12 edentulous, (?) Reverse the shift to the lip, alveolar ridge flat. Diagnosis: Defect of right upper lip defect. Treatment: under general anesthesia right upper lip defect repair and right triangular flap transplantation. Lined for the first suture