Department of Plastic Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas.
Semin Plast Surg. 2008 Nov;22(4):269-80. doi: 10.1055/s-0028-1095886.
Lip reconstruction poses a particular challenge to the plastic surgeon in that the lips are the dynamic center of the lower third of the face. Their role in aesthetic balance, facial expression, speech, and deglutination is not replicated by any other tissue substitute. The goals of lip reconstruction are both functional and aesthetic, and the surgical techniques employed are often overlapping. This discussion will focus on lip defects with significant tissue loss that require flap reconstruction. Flaps described include Webster-Bernard cheek advancement flaps, Abbe cross-lip flaps, Karapandzic rotation advancement flaps, and single and dual free-flap lip reconstructions. The principles and techniques described are broadly applicable to other flap designs that are required to meet both the aesthetic and functional goals of lip reconstruction.
唇重建对整形外科医生来说是一个特别的挑战，因为嘴唇是面部下三分之一的动态中心。它们在美学平衡、面部表情、言语和吞咽方面的作用是任何其他组织替代品都无法复制的。唇重建的目标既有功能性的，也有美学性的，所采用的手术技术往往是重叠的。本讨论将集中在需要皮瓣重建的有明显组织缺失的唇缺损。所描述的皮瓣包括 Webster-Bernard 颊推进皮瓣、Abbe 交叉唇皮瓣、Karapandzic 旋转推进皮瓣以及单和双游离皮瓣唇重建。所描述的原则和技术广泛适用于其他皮瓣设计，这些设计需要满足唇重建的美学和功能目标。
