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Results The patients in the case group had better outcomes in swallowing, speech, social eating, social contact, and dry mouth than the control group at 1-year follow-up (P less then 0.05). Conclusions The use of a barrel-shaped design free forearm flap for lower lip reconstruction is an effective procedure and can achieve better results than the use of rectangular free forearm flap.Background The quality of life (QoL) of patients with endometriosis and infertility was assessed in different stages and correlated with the clinical features