在临时性皮肤瘤手术中维持功能:关注神经损伤和切割边缘
Firas Al-Aswad1, Oscar F Fernandez-Diaz2, Mohamed Abdelrazek1
1From the Plastic Surgery Department, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom.
Plastic and reconstructive surgery. Global open
|March 11, 2024
概括
暂时皮肤瘤的手术对面部神经和深层边缘构成风险. 这项研究发现,在性皮肤癌手术中,缺陷深边缘切除率为26%,额头分支面部神经损伤风险为4%.
科学领域:
- 皮肤外科手术皮肤外科手术
- 手术瘤学手术瘤学
- 面部解剖学 面部解剖学
背景情况:
- 面部皮肤瘤由于面部神经的额头分支和眉毛功能障碍的风险而带来了手术挑战.
- 在部地区,由于敏感的软组织,很难实现深层边缘清除.
- 这项研究解决了部区域手术中关于清除边缘,瘤类型和神经损伤的研究缺口.
研究的目的:
- 评估清除边缘,皮肤瘤类型和部神经损伤.
- 为了评估在性皮肤癌手术期间额头分支面部神经损伤的发生率.
- 分析时性皮肤恶性瘤的深度和外围切除边缘的充分性.
主要方法:
- 对45名患有性皮肤癌的患者进行了回顾性分析.
- 对皮肤恶性瘤的深度和外围切除边缘的检查.
- 对临床上明显的额头神经损伤的医疗记录的审查.
主要成果:
- 基底细胞癌是最常见的恶性瘤 (75%的男性患者,平均年龄为77.8岁).
- 在26%的案例中,发生了不充分的深边缘切除.
- 在2名患者 (4.4%) 观察到额叶分支神经损伤.
结论:
- 时间性皮肤病变的去除是具有挑战性的,有26%的风险是不充分的深边缘切除和4%的风险是额头分支面部神经损伤.
- 安全的手术切除时性皮肤病变对于保护面部神经分支至关重要.
- 多学科的方法和患者咨询对于管理不够移除的瘤和改善结果至关重要.
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