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犬咬伤并吞食鼻部的重建:对一名11岁男孩断鼻再植的十年随访

Reconstruction of a Nose Bitten and Eaten by a Dog: A Ten-Year Follow-up of a Bitten-Off Nose Replantation Performed on an Eleven-Year-Old Boy.

作者信息

Stupka Igor, Dvorak Zdenek, Vesely Jiri, Novak Pavel, Perrotta Rosario E, Lombardo Giuseppe A G

机构信息

From the *Department of Plastic and Aesthetic Surgery, St. Anne's University Hospital Brno and Faculty of Medicine, Masaryk University, Berkova, Brno, Czech Republic; and †Department of Plastic and Reconstructive Surgery, Cannizzaro Hospital, University of Catania, Catania, Italy.

出版信息

Ann Plast Surg. 2015 Dec;75(6):585-7. doi: 10.1097/SAP.0000000000000643.

Abstract

The nose is one of the most important aesthetic units of the face. After a traumatic amputation, replantation is undoubtedly the procedure of choice, although, technically, very challenging. We report the 10-year follow-up of a partially digested nose replantation after a dog-bite in an 11-year-old boy using supermicrosurgery technique. Our report confirms that the microsurgical replantation of the nose can lead to an acceptable aesthetic result, with the sufficient growth of the replanted part in the following years. Besides the patient did not report sensibility disorders. The nose replantation in our opinion is the best reconstructive option to achieve an optimal aesthetic and functional outcome.

摘要

鼻子是面部最重要的美学单元之一。外伤性离断后,再植无疑是首选手术,尽管从技术角度来看极具挑战性。我们报告了一名11岁男孩被狗咬伤后采用超级显微外科技术进行部分离断鼻再植的10年随访情况。我们的报告证实,鼻显微外科再植可带来可接受的美学效果,且再植部分在随后几年能充分生长。此外,患者未报告感觉障碍。我们认为鼻再植是实现最佳美学和功能效果的最佳重建选择。

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