超薄的ALT片用于老年移植患者复合鼻子重建
Benedetto Longo1, Jennifer Okoroafor1, Lisa Vannucchi1
1Chair of Plastic Surgery, Department of Surgical Sciences, School of Medicine and Surgery, Tor Vergata University of Rome, Rome, Italy.
Microsurgery
|March 10, 2026
概括
一个超薄的前侧大腿 (ALT) 片为复杂的鼻子重建提供了可行的单阶段解决方案. 这种方法甚至在高风险患者中有效,因为传统的供体选址有限.
科学领域:
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
背景情况:
- 鼻子重建存在重大挑战,包括恢复3D结构,轮,内和呼吸道功能.
- 当传统的捐赠体位点无法获得时,这些复杂性就会加剧,特别是在老年患者或接受免疫抑制治疗的患者中.
研究的目的:
- 为了评估定制的超薄前侧大腿 (ALT) 片与软骨移植相结合,在高风险患者中进行全鼻再建的疗效.
主要方法:
- 一名78岁的男性患者患有复发性基底细胞癌,经历了瘤切除,造成了一个大的鼻子缺陷.
- 重建使用定制的超薄ALT (7x16x0.8厘米) 以及鼻隔膜和耳膜软骨移植.
主要成果:
- 患者经历了一个无事件的术后恢复.
- 在手术后6个月,患者表现出正常的鼻孔轮,空气通道专利,并且没有瘤复发的迹象.
结论:
- 一个超薄的ALT可以作为一个可靠的,单阶段的替代方案,在选择的高风险患者中进行全面的鼻子重建.
- 这种技术解决了由于无法使用传统供体部位和患者特定因素所带来的局限性.
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