Brenner Michael J, Moyer Jeffrey S
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical Center, 1500 East Medical Center Drive SPC 5312, 1904 Taubman Center, Ann Arbor, MI 48109-5312, USA.
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical Center, 1500 East Medical Center Drive SPC 5312, 1904 Taubman Center, Ann Arbor, MI 48109-5312, USA.
Facial Plast Surg Clin North Am. 2017 Aug;25(3):347-363. doi: 10.1016/j.fsc.2017.03.007.
Skin and composite grafting provide effective resurfacing and reconstruction for cutaneous defects after excision of the malignancy. The goal is to restore a natural appearance and function while preventing distortion of the eyelid, nose, or lips. With careful planning and attention to aesthetic subunits, the surgeon can camouflage incisions and avoid blunting aesthetically sensitive sulci. The surgical plan is also informed by the pathology, as basal or squamous cell carcinomas removed by Mohs micrographic excision have different prognostic and logistical considerations from melanoma. Skin and composite grafting are useful as stand-alone procedures or may complement local flaps and other soft tissue reconstructions.
皮肤和复合组织移植为恶性肿瘤切除后的皮肤缺损提供了有效的创面修复和重建方法。目标是恢复自然外观和功能，同时防止眼睑、鼻子或嘴唇变形。通过精心规划并关注美学亚单位，外科医生可以隐匿切口并避免使美学上敏感的沟变钝。手术方案也受病理学影响，因为通过莫氏显微外科切除术切除的基底细胞癌或鳞状细胞癌与黑色素瘤在预后和后勤保障方面有不同的考虑因素。皮肤和复合组织移植既可以作为独立手术使用，也可以补充局部皮瓣和其他软组织重建。
