耳廓周围巨大先天性黑素细胞痣的两阶段手术治疗
Two-stage surgical treatment of giant congenital melanocytic nevus around the auricle.
作者信息
Dong Weiwei, Song Yupeng, Jiang Haiyue, Pan Bo, He Leren, Yang Qinghua
机构信息
Department of Auricular Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
出版信息
J Cosmet Dermatol. 2020 Dec;19(12):3315-3322. doi: 10.1111/jocd.13416. Epub 2020 Apr 21.
BACKGROUND
This study presents the results of complete excision of giant congenital melanocytic nevi (GCMN) on the auricle, forehead, or periorbital area combined with tissue expansion, and skin graft transplantation performed in two stages based on 10 years of experience.
AIMS
To solve the giant congenital melanocytic nevi on the auricle, forehead, or periorbital area with two-stage operation.
PATIENTS/METHODS: A total of 21 patients with GCMN were included in this study. The operation combined tissue expander and skin graft transplantation.
RESULT
All GCMNs were successfully and completely excised. No patient in the study group had experienced skin contraction or auricular deformation at 3 years after treatment.
CONCLUSION
Two-stage operation is effective for removing GCMN on the auricle or face and can achieve good oncological and cosmetic results.
背景
本研究基于10年经验，介绍了在耳廓、前额或眶周区域对巨大先天性黑素细胞痣（GCMN）进行完全切除，并结合组织扩张和分两阶段进行皮肤移植的结果。
目的
通过两阶段手术解决耳廓、前额或眶周区域的巨大先天性黑素细胞痣。
患者/方法：本研究共纳入21例巨大先天性黑素细胞痣患者。手术结合了组织扩张器和皮肤移植。
结果
所有巨大先天性黑素细胞痣均成功完全切除。研究组患者在治疗后3年未出现皮肤收缩或耳廓变形。
结论
两阶段手术对于切除耳廓或面部的巨大先天性黑素细胞痣有效，并且可以取得良好的肿瘤学和美容效果。
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