Department of Dermatology, University of Minnesota, Minneapolis, Minnesota.
Health Sciences Library, University of Minnesota, Minneapolis, Minnesota.
Dermatol Surg. 2021 Feb 1;47(2):162-166. doi: 10.1097/DSS.0000000000002810.
Although many repair methods for postsurgical lip defects have been described, the literature lacks a comprehensive review of these methods.
To perform a systematic review of lip defect repair methods after Mohs surgery or excisions.
Terms related to perioral anatomy, Mohs surgery and excision, and reconstruction were used to search 8 databases. Articles were included if they reported postsurgical lip repair data for 4 or more patients, were in English, and were published from 2004 onward. Two reviewers screened all titles and abstracts, followed by the full texts of the remaining articles. Data were then extracted including author specialties, study design, demographic, tumor, and defect information, surgical procedures, outcomes, and complications.
Forty-two studies were eligible, including a randomized trial, 25 case series, and 16 cohort studies. Most were written by dermatologic or plastic surgeons, and most studies were small, with an average subject number of 61. Very few studies used structured outcome measures. Many repair methods were described, the most common of which were linear closures and various flaps.
Many repair methods for lip defects have been published, but overall, the quality of the available evidence is low.
尽管已经描述了许多修复唇缺损的方法，但文献中缺乏对这些方法的全面综述。
对 Mohs 手术或切除术治疗唇缺损的修复方法进行系统评价。
使用与口周解剖学、Mohs 手术和切除术以及重建相关的术语，在 8 个数据库中进行检索。纳入标准为：报道了 4 例以上患者术后唇修复数据的文章，为英文发表，且发表时间在 2004 年以后。两名审查员筛选所有标题和摘要，然后对其余文章的全文进行筛选。提取的数据包括作者专业、研究设计、人口统计学、肿瘤和缺损信息、手术程序、结果和并发症。
共有 42 项研究符合条件，包括一项随机试验、25 项病例系列研究和 16 项队列研究。这些研究大多由皮肤科或整形外科医生撰写，且规模较小，平均研究对象数为 61 例。很少有研究使用结构化的结局评估措施。描述了许多修复唇缺损的方法，其中最常见的是线性闭合和各种皮瓣。
已经发表了许多修复唇缺损的方法，但总的来说，现有证据的质量较低。
