利用邻近组织瓣立即整复唇缺损

目的：探讨利用邻近组织瓣修复不同程度的唇缺损。方法：唇缺损在1／3以内，行直接拉拢缝合，唇缺损在1／3～1／2，行对侧唇瓣转移术(多采用口角处转移，少用桥状瓣)，1／2以上缺损，行对侧唇瓣转移加颊部组织瓣滑行法或扇形组织瓣整复。结果：唇缺损小于1／3的修复效果好，而唇缺损在1／2以上，术后口裂变小，患侧口角园钝，多需行二期口角开大术。结论：利用邻近组织瓣根据唇缺损的大小，选择合理的手术方法，慎用游离(肌)皮瓣．

Immediate Reconstruction of lip Defects with Adjacent Flaps

Objective:To explore the procedures for reconstruction of the different percentage of lip defects with the adjacent flaps.Methods:Patients who had a defect area that was smaller than one third of the lip were treated using direct suture;And patients who had a defect area from one third to half of the lip were treated using contralateral transposition of labella(mostly using transposition of angle of mouth, rarely using transposition of flaps).Other patients who had a defect area larger than half of the lip were treated using contralateral transposition of labella and sliding skin flap of buccal region or ratation advancement flap.Results:Good results were obtained for both aesthetically and functionally in the patients who had a defect area that was smaller than one third of the lip.Conclusion:The selection of procedure for reconstruction of the lip depends on the defects size of the lip and carefully using free margin.