Harris Luke, Higgins Kevin, Enepekides Danny
Department of Otolaryngology/Head and Neck Surgery, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Curr Opin Otolaryngol Head Neck Surg. 2012 Aug;20(4):254-61. doi: 10.1097/MOO.0b013e3283557dcf.
The goal of this article is to review contemporary local flap reconstructive techniques for acquired lip defects. Lip reconstruction is a complex undertaking that necessitates an understanding of underlying principles. New techniques focus on local flap reconstruction which maintain oral competence, avoid microstomia, and achieve aesthetically satisfactory results.
The contemporary literature employs an aesthetic subunit approach to achieve reconstruction of vermillion, perioral cutaneous, and full-thickness defects. Several new techniques are variations of traditional techniques with modifications that preserve tissue and place incisions along the borders of aesthetic subunits.
This review presents techniques for vermillion, perioral cutaneous, and full-thickness lip reconstruction. Also presented is an algorithm for contemporary local flap reconstruction of the lip.
本文旨在回顾获得性唇部缺损的当代局部皮瓣重建技术。唇部重建是一项复杂的工作，需要理解其基本原则。新技术侧重于局部皮瓣重建，以维持口腔功能、避免小口畸形并获得美学上令人满意的效果。
当代文献采用美学亚单位方法来实现唇红、口周皮肤和全层缺损的重建。几种新技术是传统技术的变体，通过改进来保留组织并将切口置于美学亚单位的边界处。
本综述介绍了唇红、口周皮肤和全层唇部重建的技术。还介绍了一种唇部当代局部皮瓣重建的算法。
