目的探讨颜面部皮肤恶性肿瘤的手术治疗方法与面部形态及美容的关系。方法从1998年～2003年对69例颜面部恶性肿瘤,根据病灶的部位和范围,扩大切除后行单纯缝合、游离植皮、局部皮瓣+植皮、皮瓣转移等方法修复创面,并辅以放疗或化疗。结果皮瓣全部成活,皮片有3例表皮坏死,其余全部成活,切口愈合良好。随访6个月～3年,术区外形与功能良好。结论颜面部恶性肿瘤宜早期手术扩大切除,选用适宜的修复方式有助于恢复容貌,并取得较满意的外形及预后。 Objective To investigate the surgical treatment of face and skin malignant tumors with facial morphology and beauty. Methods From 1998 to 2003, 69 cases of facial malignant tumors were treated by simple suture, free skin graft, partial skin flap + skin grafting and skin flap transfer after the excision of the lesion according to the site and extent of the lesion, supplemented with radiotherapy Or chemotherapy. Results All the flaps survived, skin epidermis necrosis in 3 cases, the remaining all survived, incision healed well. Follow-up of 6 months to 3 years, surgical appearance and function well. Conclusions The facial malignant tumor should be expanded and resected in the early stage, and the appropriate repair method can help to restore the appearance and achieve more satisfactory appearance and prognosis.