Escobar V, Zide M F
John Peter Smith Hospital, Fort Worth, TX, USA.
J Oral Maxillofac Surg. 1999 Mar;57(3):271-9; discussion 279-80. doi: 10.1016/s0278-2391(99)90671-7.
A review of surgical outcomes in 280 patients who underwent in-office excision of skin lesions, open wound therapy, and delayed reconstruction is presented. Advantages of open wound therapy and delayed reconstruction are discussed.
The surgical records of all patients treated between January 1, 1994 and December 31, 1996 were evaluated for outcome and complications.
One hundred seventeen patients presented with biopsy-confirmed malignant skin lesions of the head and neck. After surgical excision of the malignancy, the wounds were treated with a semiocclusive dressing while waiting for the results of the biopsy report and reconstruction (open wound therapy). Eighty-nine percent of the residual skin defects were repaired within 10 days. The remaining 11% were closed within 35 days. Except for one allergic reaction to neomycin and slight blood oozing from the wound in two patients, no other complications occurred.
Open wound therapy is an effective method for managing skin defects after excision of malignant lesions. It is cost-effective and can be done quickly as an in-office procedure under local anesthesia without complications.
本文介绍了280例接受门诊皮肤病变切除、开放伤口治疗及延迟重建手术患者的手术结果。讨论了开放伤口治疗及延迟重建的优势。
评估1994年1月1日至1996年12月31日期间所有接受治疗患者的手术记录，以了解手术结果及并发症情况。
117例患者经活检确诊为头颈部恶性皮肤病变。恶性肿瘤手术切除后，伤口采用半封闭敷料处理，同时等待活检报告结果及重建（开放伤口治疗）。89%的残余皮肤缺损在10天内修复。其余11%在35天内闭合。除1例对新霉素过敏及2例患者伤口轻微渗血外，未发生其他并发症。
开放伤口治疗是处理恶性病变切除后皮肤缺损的有效方法。它具有成本效益，可在门诊局部麻醉下快速完成，且无并发症。
