Ma Tengxiao, Fan Ke, Li Lei, Xie Feng, Li Hao, Chou Haiyan, Zhang Zhengwen
Department of Plastic Surgery Department of Operating Theater, Henan Provincial People's Hospital, Zhengzhou City, Henan Province, China.
Medicine (Baltimore). 2017 Mar;96(13):e6358. doi: 10.1097/MD.0000000000006358.
The aim of our study was to use tissue expansion for the treatment of giant congenital melanocytic nevi of the upper extremity and examine potential advantages over traditional techniques.There were 3 stages in the treatment of giant congenital melanocytic nevi of the upper extremities using tissue expansion: first, the expander was inserted into the subcutaneous pocket; second, the expander was removed, lesions were excised, and the wound of the upper extremity was placed into the pocket to delay healing; third, the residual lesion was excised and the pedicle was removed. The pedicle flap was then unfolded to resurface the wound.During the period between June 2007 and December 2015, there were 11 patients with giant congenital melanocytic nevi of the upper extremities who underwent reconstruction at our department with skin expansion. Few complications were noted in each stage of treatment. The functional and aesthetic results were observed and discussed in this study.Optimal aesthetic and functional results were obtained using tissue expansion to reconstruct the upper extremities due to the giant congenital melanocytic nevi.
我们研究的目的是利用组织扩张术治疗上肢巨大先天性黑素细胞痣，并探讨其相较于传统技术的潜在优势。使用组织扩张术治疗上肢巨大先天性黑素细胞痣有三个阶段：首先，将扩张器置入皮下腔隙；其次，取出扩张器，切除病灶，将上肢伤口置于腔隙内延迟愈合；第三，切除残余病灶并去除蒂部。然后展开带蒂皮瓣修复创面。在2007年6月至2015年12月期间，有11例上肢巨大先天性黑素细胞痣患者在我科接受了皮肤扩张重建术。治疗的每个阶段均未出现严重并发症。本研究对功能和美学效果进行了观察和讨论。利用组织扩张术重建因巨大先天性黑素细胞痣所致的上肢，可获得最佳的美学和功能效果。
