唇部状细胞癌:临床特征分析和重建算法的建议
Jung Won Park1, Taehee Kim2, Kee Yang Chung1
1Department of Dermatology, Cutaneous Biology Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
The Journal of dermatology
|March 6, 2024
概括
在去除状细胞癌 (SCC) 后,唇部重建是具有挑战性的. 一个新的算法建议对50%以下的缺陷进行初级关闭,对于较大的缺陷进行局部,从而改善结果.
科学领域:
- 口腔和牙面部外科手术
- 皮肤外科手术皮肤外科手术
- 整形和重建手术 整形和重建手术
背景情况:
- 在去除状细胞癌 (SCC) 后重建嘴唇带来了功能和美学方面的挑战.
- 唇部SCC通常影响老年人,倾向于下唇和粘膜表面.
研究的目的:
- 描述唇部SCC的临床特征.
- 为SCC切除后的唇部缺陷提出一种新的重建算法.
主要方法:
- 在莫斯微图手术 (2006-2022) 后进行重建的34名唇部SCC患者的回顾性分析.
- 评估缺陷的大小,位置 (粘膜与皮肤) 和重建技术 (初级关闭与局部折叠).
主要成果:
- 大多数缺陷发生在下唇 (27/34) 和粘膜表面 (25/34).
- 初级闭合用于缺陷<50%的嘴唇大小 (9/18),而局部被用于更大的缺陷 (16/34).
- 13名患者患有轻微的术后并发症,大多数患者在一年内恢复.
结论:
- 建议使用50%的唇部大小切断的重建算法.
- 缺陷<50%最好通过初级关闭来管理.
- 较大的缺陷受益于局部板,提供良好的功能和美学修复,并发症最小.
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