中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2019, Vol. 17 ›› Issue (5): 391-396.doi: 10.19438/j.cjoms.2019.05.002

• 专家共识 • 上一篇    下一篇

唇缺损局部组织瓣修复重建专家共识

刘建华1, 张志愿2, 石冰3, 郭传瑸4, 孙坚2, 王慧明5, 孙长伏6, 郑谦3   

  1. 1.浙江大学医学院附属第一医院 口腔颌面外科,浙江 杭州 310003;
    2.上海交通大学医学院附属第九人民医院·口腔医学院 口腔颌面-头颈肿瘤科,上海 200011;
    3.四川大学华西口腔医学院 口腔颌面外科,四川 成都 610041;
    4.北京大学口腔医学院 口腔颌面外科,北京 100081;
    5.浙江大学医学院附属口腔医院 口腔颌面外科,浙江 杭州 310006;
    6.中国医科大学附属口腔医院 口腔颌面-头颈外科,辽宁 沈阳 110001
  • 收稿日期:2019-04-15 出版日期:2019-09-20 发布日期:2020-03-11
  • 通讯作者: 刘建华,E-mail: timliu0401@163.com
  • 作者简介:刘建华（1956-）,男,博士,主任医师,博士研究生导师

Treatment protocols for lip defects based on local flap reconstruction: Chinese expert consensus

LIU Jian-hua1, ZHANG Zhi-yuan2, SHI Bing3, GUO Chuan-bin4, SUN Jian2, WANG Hui-ming5, SUN Chang-fu6, ZHENG Qian3   

  1. 1. Department of Oral and Maxillofacial Surgery, First Affiliated Hospital, School of Medicine, Zhejiang University. Hangzhou 310003, Zhejiang Province;
    2. Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
    3. Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University. Chengdu 610041, Sichuan Province;
    4. Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Peking University. Beijing 100081;
    5. Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, School of Medicine, Zhejiang University. Hangzhou 310006, Zhejiang Province;
    6. Department of Oromaxillofacial Head and Neck Surgery, School and Hospital of Stomatology, China Medical University. Shenyang 110001, Liaoning Province, China
  • Received:2019-04-15 Online:2019-09-20 Published:2020-03-11

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。

关键词: 唇缺损, 唇肿瘤, 唇畸形, 修复重建, 专家共识

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.

Key words: Lip defect, Lip tumor, Lip deformity, Reconstruction, Expert consensus

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