在头部和部地区的基础细胞癌缺陷的重建选择:一个机构的经验
Rajendra Dhondge1, Mohsina Hussain2, Raj Nagarkar3
1Plastic and Reconstructive Services, HCG Manavata Cancer Centre, Nashik, India.
概括
面部基础细胞癌 (BCC) 的重建存在挑战. 这项研究评估了面部BCC缺陷的各种手术重建方法,取得了成功的美容和功能结果.
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:
- 基底细胞癌 (BCC) 是最常见的皮肤癌,由于累积的紫外线照射,经常发生在脸上.
- 宽局部切除术是标准的BCC治疗方法,但面部重建带来了重大挑战.
研究的目的:
- 为了评估头部和部基底细胞癌缺陷的不同重建方式.
- 评估BCC重建后的美容,功能和患者满意度结果.
主要方法:
- 在2017-2021年期间对30名头部和部BCC患者进行了回顾性分析.
- 手术切除,然后进行各种重建技术:初级关闭,皮肤移植,局部/进步片和自由片重建.
主要成果:
- 所有30名患者都经历了成功的重建,没有片损失或功能缺陷.
- 重建方法是根据缺陷的大小和位置量身定制的,实现了良好的审美效果.
- 技术包括初级关闭 (4),皮肤移植 (8),局部/先进 (13) 和自由 (5).
结论:
- 定制的重建策略对于面部BCC的最佳美学和功能结果至关重要.
- 了解面部美学区域和缺陷特征指导重建方法的选择.
- 实现高患者满意度需要仔细规划,适当的组织选择和痕伪装.
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