Head and Neck Institute, Cleveland Clinic, 9500 Euclid Avenue A71, Cleveland, OH 44106, USA.
Division of Otolaryngology Head and Neck Surgery, Section of Head and Neck Surgical Oncology, University of Wisconsin, 600 Highland Avenue, BX7375 Clinical Science Center-K4, Madison, WI 53792-3284, USA.
Otolaryngol Clin North Am. 2023 Aug;56(4):779-790. doi: 10.1016/j.otc.2023.04.006. Epub 2023 Jun 3.
Skin cancer defects of the head and neck region can vary greatly in their complexity. Reconstructive surgeons are tasked with maintaining or restoring function as well as providing an excellent aesthetic outcome. This article provides an overview of reconstructive options following skin cancer resection broken down by different aesthetic regions and subunits. Although not meant to serve as an all-encompassing source, it provides common indications for using different sections of the reconstructive ladder based on location of defects, tissues involved, and patient factors.
头颈部皮肤癌缺陷的复杂性差异很大。重建外科医生的任务是维持或恢复功能,同时提供出色的美学效果。本文按不同的美学区域和亚单位对皮肤癌切除术后的重建选择进行了概述。虽然本文无意作为包罗万象的资源,但它根据缺陷位置、涉及的组织和患者因素,为使用重建阶梯的不同部分提供了常见的适应证。