Departamento de Dermatología, Clínica Universidad de Navarra, Pamplona y Madrid, España.
Departamento de Dermatología, Clínica Universidad de Navarra, Pamplona y Madrid, España.
Actas Dermosifiliogr (Engl Ed). 2021 Feb;112(2):171-175. doi: 10.1016/j.ad.2020.04.011. Epub 2020 Sep 12.
Upper-lip reconstruction after Mohs micrographic surgery is challenging for dermatologic surgeons. We describe a series of 15 patients (7 men and 8 women; mean age, 65.6 years) with skin cancer on the upper lip treated with Mohs surgery: 10 were basal cell carcinomas, 2 were melanomas, and 3 were squamous cell carcinomas. The resulting defects measured between 3 and 7.6cm. We used island flaps to reconstruct the defects in all cases, hiding the incisions in the nasolabial fold, at the line where the skin meets the vermillion border of the lip, and in the relaxed skin tension lines. We explain key aspects of the surgeries and design of the reconstructions, with emphasis on the importance of occasionally sacrificing small areas of healthy skin. Cosmetic and functional outcomes were satisfactory in all patients, and there were no postsurgical complications.
上唇Mohs 显微外科手术后的重建对皮肤科医生来说具有挑战性。我们描述了一组 15 例（7 名男性和 8 名女性；平均年龄 65.6 岁）接受上唇皮肤癌Mohs 手术治疗的患者：10 例为基底细胞癌，2 例为黑色素瘤，3 例为鳞状细胞癌。所产生的缺陷尺寸在 3 至 7.6cm 之间。我们在所有情况下都使用岛状皮瓣来重建缺陷，将切口隐藏在鼻唇沟、皮肤与唇红交界线以及皮肤松弛张力线处。我们解释了手术和重建设计的关键方面，重点强调了偶尔牺牲小面积健康皮肤的重要性。所有患者的美容和功能结果均令人满意，且无术后并发症。
