Fischer K, Blain B, Zhang F, Richards L, Lineaweaver W C
Division of Plastic Surgery, University of Mississippi Medical Center, Jackson 39216, USA.
Ann Plast Surg. 2001 Mar;46(3):332-5. doi: 10.1097/00000637-200103000-00022.
Tuberous sclerosis is an inherited disease expressed clinically by the triad of mental retardation, seizures, and tuberous lesions. Facial angiofibromas, a common manifestation of tuberous sclerosis, can cause considerable cosmetic disfigurement, emotional distress, obstruction of vision, and hemorrhage. Treatment by shave excision, as the first step to remove the larger nodules, followed by dermabrasion, to smooth and sculpt the final surface, has been recommended as the most effective form of therapy. However, this method of treatment raises the question of risk for development of hypopigmentation in susceptible patients. The authors present their treatment of angiofibromas with shave excision and dermabrasion in a dark-skinned patient.
结节性硬化症是一种遗传性疾病，临床表现为智力迟钝、癫痫发作和结节性病变三联征。面部血管纤维瘤是结节性硬化症的常见表现，可导致严重的外貌毁损、情绪困扰、视力障碍和出血。作为切除较大结节的第一步，采用刮除术，随后进行磨皮术以平滑和塑造最终表面，已被推荐为最有效的治疗方式。然而，这种治疗方法引发了易感患者出现色素减退的风险问题。作者介绍了他们对一名深色皮肤患者的面部血管纤维瘤采用刮除术和磨皮术的治疗情况。
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