通过解剖学修复修复缩回的胸腔切开术后痕;四层关闭
Jaeyoung Cho1, Jimin Lee1, Sang Yoon Kang1,2
1Department of Plastic Surgery, Kyung Hee University Hospital, Seoul, Korea.
Archives of plastic surgery
|November 15, 2024
概括
这项研究引入了一种新的外科手术技术,用于重建气管切口痕变形. 用脂肪毯层层地进行解剖修复,有效地纠正了气管皮质结合,改善了患者的功能和外观.
科学领域:
- 整形外科 整形外科 整形外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术重建手术重建的方法
背景情况:
- 气管切除术的痕往往导致气管皮质结,导致疼痛,不适和美学问题.
- 这种绑定可以导致功能问题,如食障碍,可能与气管皮质有关.
研究的目的:
- 提出一种新的,简单的手术方法,用于通过气管皮质结合来重建气管切口痕形.
- 为了评估这种层次的解剖修复技术的功能和美学成果.
主要方法:
- 完全切除痕组织,包括皮肤和皮下层.
- 被切割的腰带肌肉接近中线,被平肌肉覆盖.
- 创建一个皮下脂肪组织毯子用于解剖修复,在评估吞时的收缩后,皮肤关闭.
主要成果:
- 在2010年至2018年期间,有11名患者 (10名患有绑定,1名患有抽) 接受了手术.
- 所有患者都报告了高的功能和美学满意度.
- 一名患者经历过过度缩的痕,成功地用triamcinolone注射来治疗.
结论:
- 使用脂肪毛毯进行解剖层次复原是一种一致且有效的方法,用于纠正气管切开术痕形.
- 这种技术在不需要额外的组织移植的情况下取得了令人满意的结果.
- 描述的简单方法对于重建气管皮肤连接是非常有效的.
更多相关视频
07:43Porcine As a Training Module for Head and Neck Microvascular Reconstruction
Published on: September 29, 2018
7.7K
00:20A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
Published on: July 4, 2019
51.2K
相关概念视频
Tracheostomy Decannulation
115
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
115
Tracheostomy Care I: Pre-procedural Steps
135
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
135
Tracheostomy: Procedure and Tubes
415
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
415
Tracheostomy Care II: Procedure
119
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
119
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
361
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
361
