上唇莫斯手术修复的结果使用标准化痕尺度,特别强调万亿边界参与
Courtney M Kromer1, Julie Jefferson1, David Crowe1
1MetroHealth Medical Center, Cleveland, Ohio.
概括
使用莫斯微图外科手术 (MMS) 重建上唇皮肤癌表明,跨越紫色边界不会影响患者对功能或美学结果的满意度.
科学领域:
- 皮肤病学 皮肤病学
- 整形外科 整形外科 整形外科
- 在瘤学瘤学.
背景情况:
- 嘴唇是皮肤癌的常见部位,需要莫斯微图手术 (MMS).
- 嘴唇上的MMS缺陷的重建,这是一个重要的化品和功能性面部单元,可以影响患者报告的结果.
- 了解不同修复技术对患者感知的影响,对于优化手术结果至关重要.
研究的目的:
- 为了比较上唇MMS重建后的美学和功能结果.
- 评估节省维修 (VSR) 和交叉维修 (VCR) 之间的差异.
主要方法:
- 一项追溯研究,对45名从2018年至2022年接受上唇MMS的患者进行了追溯研究.
- 包括有线性或选择性片修复的患者.
- 在6周的随访期进行评估,使用经过验证的患者和观察痕评估尺度和痕美容评估和评级尺度进行患者和医生评估.
主要成果:
- 在VSR和VCR组之间没有发现患者评估的功能或美容结果的显著差异.
- 在两种修复类型之间,医生对痕宇宙的评估也进行了比较.
结论:
- 在MMS后,患者对唇部重建的满意度可能很高.
- 在重建过程中跨越色边界不会对患者评估的美学或功能结果产生负面影响.
- 当必要时,应考虑修复数百万个十字路口,以实现最佳的重建结果.
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