这完全是关于形态和功能的：一种治疗巨大新生儿骶尾部畸胎瘤的新方法。
It is all about form and function: a new approach to giant neonatal sacrococcygeal teratomas.
机构信息
Division of Plastic and Reconstructive Surgery, Department of Surgery, CHU Sainte-Justine, 3175 Chemin de la Côte Sainte-Catherine, Montreal, QC, Canada.
Division of Plastic and Reconstructive Surgery, University of Montreal, Montreal, QC, Canada.
出版信息
Pediatr Surg Int. 2023 Apr 18;39(1):182. doi: 10.1007/s00383-023-05454-6.
INTRODUCTION
Giant sacrococcygeal teratomas (GSCTs) involve severe deformation of the buttock region in addition to potential functional impacts. Little interest has been given to improving the aesthetic post-operative appearance in children with these tumours.
METHODS
We describe a new technique for immediate reconstruction of GSCTs using buried dermal-fat flaps and a low transverse scar in the infragluteal fold.
RESULTS
Our technique allows wide exposure for tumour resection and functional restoration of the pelvic floor while placing the scars in anatomical locations and restoring buttock aesthetics including gluteal projection and infragluteal fold definition.
CONCLUSION
Reestablishment of function and form should be kept in mind at initial surgery in GSCT surgery to maximize results and enhance post-operative outcomes.
LEVEL OF EVIDENCE
IV.
简介
巨大的骶尾部畸胎瘤（GSCTs）除了潜在的功能影响外，还会导致臀部区域严重变形。对于这些肿瘤患儿，人们几乎没有兴趣改善术后的美学外观。
方法
我们描述了一种使用埋藏的真皮脂肪瓣和臀下线的低横切口即刻重建 GSCT 的新技术。
结果
我们的技术允许广泛暴露肿瘤切除，并恢复盆底功能，同时将疤痕置于解剖位置，并恢复臀部美学，包括臀突和臀下线的定义。
结论
在 GSCT 手术的初始手术中，应牢记功能和形态的重建，以最大限度地提高结果并改善术后结果。
证据等级
IV。
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