Bhavana Kranti, Tyagi Isha, Ramani Mukesh Kumar
Department of Neurotology, Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGIMS), Rai Barailley Road, Lucknow, 226014 India.
Indian J Otolaryngol Head Neck Surg. 2012 Jun;64(2):184-7. doi: 10.1007/s12070-011-0143-8. Epub 2011 Feb 23.
Radical maxillectomy has usually been done by the classical Weber Ferguson incision since age old times and still is being used widely due to its advantage of excellent exposure and minimal scarring as the incision follows the natural skin crease. In our modification of radical maxillectomy incision we avoid a scar on the midface by performing a midface degloving and combining it with a subconjunctival eye incision thus avoiding any cosmetic deformity and associated eye complication. It also avoids the late complication of cutaneous fistula following radiotherapy to these areas and due to early healing of the wound, early radiotherapy can be started.
根治性上颌骨切除术长期以来通常采用经典的韦伯·弗格森切口,由于该切口沿着自然皮肤褶皱,具有暴露良好和瘢痕最小的优点,至今仍被广泛应用。在我们对根治性上颌骨切除术切口的改良中,通过进行面中部去套状剥离并结合结膜下眼部切口,避免了面中部的瘢痕,从而避免了任何美容畸形和相关的眼部并发症。它还避免了这些区域放疗后皮肤瘘的晚期并发症,并且由于伤口愈合早,可以早期开始放疗。