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[面部修复术的艺术]

[The art of facial prosthetics].

作者信息

de Jong Maarten, de Cubber Jan, de Roeck Frans, Lethaus Bernd, Buurman Doke, Kessler Peter

机构信息

Academisch ziekenhuis Maastricht, afd. Mondziekten, Kaak- en Aangezichtschirurgie, Maastricht, the Netherlands.

出版信息

Ned Tijdschr Geneeskd. 2011;155(51):A3967.

PMID:22200146
Abstract

BACKGROUND

Anaplastology is the discipline devoted to the construction of epithesis. An epithesis is a prosthesis that replaces soft tissue. This offers a solution for patients with a facial defect.

CASE DESCRIPTION

A 78-year-old woman, who had undergone ablative surgical treatment for a squamous cell carcinoma of the left ear, was left with a large defect in the mastoid region. This defect had a severe impact on her psychosocial functioning. For this patient an episthesis was constructed to replace the left ear. After this, her psychosocial problems were greatly improved.

CONCLUSION

A nearly-realistic episthesis can reduce the negative psychosocial effects of facial mutilation. The construction requires multidisciplinary treatment. In order to achieve the optimal result, an anaplastologist must have well developed artistic capacities. Feeling for detail, form and colour are essential. Modern 3D technology contributes to a more precise, quicker and cosmetically high-quality result.

摘要

背景

整形修复学是致力于赝复体构建的学科。赝复体是一种替代软组织的假体。这为面部缺陷患者提供了一种解决方案。

病例描述

一名78岁女性因左耳鳞状细胞癌接受了切除性手术治疗,乳突区留下了一个大的缺损。这个缺损对她的心理社会功能产生了严重影响。为该患者构建了一个赝复体来替代左耳。此后,她的心理社会问题得到了极大改善。

结论

一个近乎逼真的赝复体可以减少面部毁容的负面心理社会影响。构建需要多学科治疗。为了达到最佳效果,整形修复医生必须具备良好的艺术能力。对细节、形状和颜色的感知至关重要。现代3D技术有助于获得更精确、更快且美观质量更高的结果。

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