ENT and Head and Neck Surgery Dept, Nantes University Hospital, 1, place A.-Ricordeau, BP 1005, 44093 Nantes cedex 01, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2010 May;127(2):49-62. doi: 10.1016/j.anorl.2010.04.001. Epub 2010 May 12.
The main cause of labial defect is carcinological, in 90% of cases involving the lower lip. Reconstruction for labial defect is a therapeutic challenge imposing two main requirements: to achieve good esthetic quality, and to conserve labial function. Steps of defect analysis is proposed. Very numerous techniques have been described that are not exhaustively explained in this surgical review. Thus, the authors suggest reliable, reproducible solutions that should enable the surgeon to deal with most of the labial defect situations encountered in practice, based on consensual indications. Node involvement and alternatives to surgery, such as X-ray therapy, also fall outside the field of the present article.
唇缺损的主要原因是癌性的，90%的病例涉及下唇。唇缺损的重建是一个治疗挑战，需要满足两个主要要求：实现良好的美学质量，并保留唇的功能。提出了缺损分析步骤。在这个手术综述中，没有详尽地解释非常多的技术。因此，作者建议使用可靠且可重复的解决方案，根据共识性适应证，使外科医生能够处理在实践中遇到的大多数唇缺损情况。淋巴结受累和手术替代方法，如放射治疗，也不在本文的讨论范围之内。
