Dibelius Gregory S, Toriumi Dean M
Department of Otolaryngology-Head & Neck Surgery, Eye and Ear Infirmary, University of Illinois-Chicago, 1855 W Taylor St Chicago Room. 2.42 Chicago, IL 60612, USA.
Department of Otolaryngology-Head & Neck Surgery, Eye and Ear Infirmary, University of Illinois-Chicago, 1855 W Taylor St Chicago Room. 2.42 Chicago, IL 60612, USA.
Facial Plast Surg Clin North Am. 2017 Aug;25(3):409-426. doi: 10.1016/j.fsc.2017.03.011. Epub 2017 May 30.
Mohs micrographic surgery has become the standard of care for the treatment of cutaneous malignancies. Reconstructing cutaneous defects of the nose can be challenging, as form and function must be respected to the greatest extent possible. A wide range of reconstructive techniques are used. Secondary intent, primary closure, skin grafts, local flaps, and the interpolated workhorse flaps represent the spectrum of options, each with specific advantages and disadvantages. Vigilant postoperative care, including judicious use of adjunctive procedures, can improve outcomes. A subunit approach to reconstruction aids with surgical planning in order to achieve the best possible results.
莫氏显微外科手术已成为治疗皮肤恶性肿瘤的标准治疗方法。由于必须尽可能最大程度地兼顾形态和功能，修复鼻子的皮肤缺损可能具有挑战性。人们使用了多种重建技术。二期愈合、一期缝合、皮肤移植、局部皮瓣以及插入式常用皮瓣代表了一系列选择，每种都有其特定的优缺点。严密的术后护理，包括明智地使用辅助程序，可以改善治疗效果。采用亚单位重建方法有助于手术规划，以取得尽可能好的效果。
