【摘要】 唇缺损除导致患者面部外貌缺陷外,常引起面部功能障碍,如进食不便、语言障碍、咀嚼困难、流涎等,给患者带来巨大痛苦。唇缺损一般是指全层复合组织缺损,可由先天性疾病、炎症、外伤或肿瘤所导致,唇癌是造成唇缺损的重要原因。然而,目前唇癌切除术后缺损的修复各单位水平参差不齐,缺乏统一标准,导致许多患者术后唇外形与功能缺陷,并在一定程度上增加了患者的经济负担。为进一步规范唇癌切除术后修复重建的诊疗技术,使唇癌切除手术修复治疗更加标准化,提高唇癌切除后修复重建的治疗效果,减少医疗资源的浪费,我们组织国内相关专家,讨论并制定了唇缺损局部组织瓣修复重建的专家共识。由于游离组织瓣修复唇缺损种类繁多,过于复杂,仅适用于局部组织瓣无法修复的情况,难以制定统一标准,故未纳入本专家共识。更多还原

【Abstract】 Lip defect,in addition to cause facial appearance deficiency,often causes facial dysfunction,such as eating inconvenience,language incompetence,difficulty in chewing,slobbering,etc.,which brings great pain and financial burden to the patients.Lip defect generally refers to a full-thickness composite tissue defect,which can be caused by congenital disease,inflammation,trauma,or tumor.Lip malignancy is the major cause of lip defect after tumor resection.However,the surgical level of repair technique after lip cancer resection is uneven,and lack of uniform standards to classify the different defect degree.Meanwhile,the confusion of treatment protocol results in postoperative deficiencies of lip shape and function,in other words,increases the patient’s economic burden.Therefore,in order to standardize the diagnosis and treatment techniques for lip defect,to improve the therapeutic effect,as well as to reduce the waste of medical resources,it is urgent to work out expert consensus on lip restoration and reconstruction.更多还原