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对于上唇缺失超过1/3,下唇缺失超过2/3的唇部整复,常用的方法是上唇用Abbe氏瓣或Zisser-Madden法,下唇用旋转唇瓣或双交叉唇瓣法。本文作者推荐用游离复合瓣整复肿瘤切除后的唇组织。 作者治疗了10例唇癌患者,肿瘤宽度8～20mm,切除边缘离肿瘤5～15mm。遗留缺损用对侧唇瓣整复,唇瓣宽度10mm,其中7例愈合良好,2例因制动不良致唇瓣部分坏死,但经保守治疗后未出现并发症。1
For the upper lip missing more than 1/3, lower lip missing more than 2/3 of lip repair, commonly used method is the upper lip with Abbe's or Zisser-Madden method, the lower lip with rotating lip or double cross-lip method. The authors recommend the use of free composite flap resection of the lip after resection of the tumor tissue. The authors treated 10 patients with lip cancer, tumor width 8 ~ 20mm, removal of the edge of the tumor 5 ~ 15mm. Retained defects with the contralateral lip repair, the width of the lip 10mm, of which 7 cases healed well, 2 cases due to poor braking caused lip necrosis, but no complications after conservative treatment. 1