在癌症切除后,用于下唇缺陷 (30-80%) 的没有片的初级修复
M Yousefi1, S J Khoshnevis2, M Seraj1
1Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Asian journal of surgery
|December 30, 2023
概括
这项研究提出了一种新的手术技术,用于瘤切除后的唇部重建,最大限度地减少痕并避免组织亡. 这种方法在中度的唇部缺陷中保留了语音,感觉和美学.
科学领域:
- 整形外科 整形外科 整形外科
- 瘤外科手术 瘤外科手术
背景情况:
- 在瘤切除后,唇部重建是必不可少的.
- 现有的技术可能会导致诸如亡和广泛痕等并发症.
研究的目的:
- 介绍一项用于唇部重建的新手术技术.
- 在中型唇部缺陷 (30-80%) 中,尽量减少线,避免组织亡.
主要方法:
- 从唇角做了一个双边水平切口.
- 皮肤和粘膜被切割,底层肌肉被切割,缺陷被四层封闭.
- 释放的粘膜被接到切割的皮肤角落.
主要成果:
- 这项技术在36个月内保持了语音可理解性,感觉,移动性和审美满意度.
- 痕不那么明显,而不是用片技术.
- 没有观察到胀或唾液流出的病例.
结论:
- 描述的技术为中度下唇缺陷提供了优势.
- 它避免了与相关的并发症,并取得了令人满意的美学结果.
- 建议其他外科医生进一步评估.
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