Di Chiacchio Nilton G, Fonseca Noriega Leandro, Ocampo-Garza Jorge, Di Chiacchio Nilton
Dermatology Department, Hospital do Servidor Público Municipal de São Paulo, São Paulo, Brazil.
Dermatology Department, Faculty of Medicine of ABC, São Paulo, Brazil.
Int J Dermatol. 2017 Apr;56(4):464-466. doi: 10.1111/ijd.13527. Epub 2017 Jan 12.
Digital mucous cysts or myxoid cysts are relatively common, benign pseudocysts of the digits typically located at the distal interphalangeal joints or in the proximal nail fold. There are several therapeutic modalities for its treatment ranging from conservative to surgical procedures; however, there is no consensus about the best approach.
We describe a surgical technique based on the excision of the digital mucous cyst and reconstruction using a self-grafting from the overlying skin lesion.
The use of the cyst's overlying skin as a partial cutaneous graft followed by a long-term Brown's dressing, in this case, provided a satisfactory functional and esthetic result.
This technique is a new option for the reconstruction of digital mucous cyst defects that decreases the surgical time and avoids a graft removal of healthy skin and consequently a new scar.
指部黏液囊肿或黏液样囊肿相对常见，是手指的良性假性囊肿，通常位于远侧指间关节或近端甲襞。其治疗方法有多种，从保守治疗到手术治疗；然而，对于最佳治疗方法尚无共识。
我们描述了一种手术技术，该技术基于指部黏液囊肿切除术，并利用覆盖皮肤病变处的自体移植进行重建。
在本病例中，使用囊肿上方的皮肤作为部分皮肤移植物，随后进行长期的布朗氏敷料包扎，取得了满意的功能和美学效果。
该技术是指部黏液囊肿缺损重建的一种新选择，可缩短手术时间，避免切除健康皮肤进行移植，从而避免产生新的瘢痕。
