University of Texas Medical Branch, Galveston.
Cutis. 2023 Apr;111(4):205-209. doi: 10.12788/cutis.0743.
The lips are commonly affected by skin cancer because of increased sun exposure over time. Even with early detection, many of these skin cancers require surgical removal with subsequent reconstruction. Mohs micrographic surgery is the preferred method of treatment for nonmelanoma skin cancers of the lip, as it has the lowest recurrence rates and allows for the maximum preservation of healthy tissue. After surgery, the remaining lip defect often requires reconstruction with skin grafts or a local cutaneous or myocutaneous flap. There are several local flap reconstruction options available, and some may be used in combination for more complex defects. We provide a succinct review of commonly utilized flaps and outline their indications, risks, and benefits.
嘴唇经常受到皮肤癌的影响，因为随着时间的推移，它们会受到更多的阳光照射。即使早期发现，许多这些皮肤癌也需要手术切除，然后进行重建。Mohs 显微外科手术是治疗唇部非黑色素瘤皮肤癌的首选方法，因为它的复发率最低，并且可以最大限度地保留健康组织。手术后，剩余的唇缺损通常需要通过皮片或局部皮瓣或肌皮瓣来进行重建。有几种局部皮瓣重建选择，对于更复杂的缺损，可能会结合使用其中一些。我们提供了常用皮瓣的简明综述，并概述了它们的适应证、风险和益处。
