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眼睑肿瘤的外科切除和随后的眼成形重建。

Surgical excision of eyelid tumors and subsequent ophthalmoplastic reconstruction.

机构信息

Faculty of Medicine and University Hospital Cologne, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.

Chair and Department of General and Pediatric Ophthalmology, Medical University of Lublin, Lublin, Poland.

出版信息

Ophthalmologie. 2024 Jan;121(Suppl 1):23-32. doi: 10.1007/s00347-023-01956-9. Epub 2023 Nov 21.

Abstract

In recent years new modern therapeutic concepts have been developed in the treatment of malignant eyelid tumors; however, surgical restoration remains an important component of the therapeutic options addressed, which include microsurgical tumor excision into healthy tissue and subsequent coverage of the defects. An ophthalmic surgeon experienced in oculoplastic surgery is responsible for the recognition and evaluation of the existing alterations and planning a procedure together with the patient that meets the patient's expectations. The planning of surgery must always be individualized and fit the initial findings. Depending on the defect size and localization, different coverage strategies are available to the surgeon. To ensure successful reconstruction, every surgeon should master a wide range of reconstructive techniques.

摘要

近年来,恶性眼睑肿瘤的治疗中出现了新的现代治疗理念;然而,手术修复仍然是治疗方案的重要组成部分,这些方案包括将肿瘤通过显微外科技术切除到健康组织中,并随后覆盖缺陷。有经验的眼整形外科医生负责识别和评估现有的改变,并与患者一起规划符合患者期望的手术。手术规划必须始终是个体化的,并与初始发现相适应。根据缺陷的大小和位置,外科医生可以使用不同的覆盖策略。为了确保成功的重建,每个外科医生都应该掌握广泛的重建技术。

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