Goslen J B, Thomas J R
University of Pittsburgh, Pennsylvania.
Dermatol Clin. 1989 Oct;7(4):733-49.
The management of difficult perioral malignancies is often facilitated by an organized, multidisciplinary approach that utilizes the skills of a Mohs micrographic surgeon as well as a head and neck surgeon. This article summarizes such an approach with attention to anatomic considerations, tumor classification, prognosis, and a practical approach to such malignancies. Finally, an approach to reconstruction is presented that emphasizes the usefulness of a Karapandzic flap in large reconstructions of this region.
通过采用一种有组织的多学科方法，利用莫氏显微外科医生以及头颈外科医生的技能，通常有助于处理复杂的口周恶性肿瘤。本文总结了这样一种方法，重点关注解剖学考虑因素、肿瘤分类、预后以及针对此类恶性肿瘤的实用方法。最后，提出了一种重建方法，强调了卡拉潘齐克皮瓣在该区域大型重建中的实用性。
