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面中部脱套术的适应证与技术。15年经验总结。

Indications and techniques of midfacial degloving. A 15-year experience.

作者信息

Maniglia A J

出版信息

Arch Otolaryngol Head Neck Surg. 1986 Jul;112(7):750-2. doi: 10.1001/archotol.1986.03780070062013.

DOI:10.1001/archotol.1986.03780070062013
PMID:3707738
Abstract

Surgical access to the midface structures for the removal of benign or malignant lesions traditionally has been through paranasal sinuses, through external facial incisions, or transpalatine. The midfacial degloving procedure has been developed by the association of sublabial incisions, combined with rhinoplasty incisions, with or without osteotomies of the nasal bone and frontal process of the maxilla. I have been using midfacial degloving to treat patients since 1969 among which are included 30 patients who were seen with benign or malignant lesions involving the midface structures, palate, or nasopharynx. This approach offers excellent bilateral exposure without leaving external facial deformity.

摘要

传统上,通过鼻窦、面部外部切口或经腭部进行手术以切除面中部结构的良性或恶性病变。面中部去套状手术是通过唇下切口联合鼻整形切口,并结合或不结合鼻骨和上颌骨额突截骨术发展而来的。自1969年以来,我一直使用面中部去套状手术治疗患者,其中包括30例患有涉及面中部结构、腭部或鼻咽部的良性或恶性病变的患者。这种方法提供了良好的双侧暴露,且不会留下面部外部畸形。

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