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莫氏显微外科手术后的耳部重建

Ear Reconstruction following Mohs Micrographic Surgery.

作者信息

Mohan Vamsi C, Owens Winston R, Schmidt Josephine L, Burns Heather R, Buchanan Edward P

机构信息

Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.

Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas.

出版信息

Semin Plast Surg. 2024 Nov 4;38(4):326-334. doi: 10.1055/s-0044-1791830. eCollection 2024 Nov.

Abstract

Relative to other regions of the body, the ear has a high risk of developing cutaneous malignancies that often necessitate Mohs micrographic surgery (MMS) for removal. This procedure can create defects that are immediately noticeable if left untreated. Reconstructive techniques are often needed to restore the appearance of the affected ear and its symmetrical relationship to the contralateral ear. However, achieving optimal aesthetic results can be challenging due to the subtle intricacies of the external ear. Therefore, careful planning and execution should be implemented prior to managing the acquired defect. Additionally, depending on the size and location of the defect, various options aligning with the reconstructive ladder can provide desired outcomes. The purpose of this article was to highlight and discuss the different techniques used in ear reconstruction following MMS.

摘要

相对于身体的其他部位,耳部发生皮肤恶性肿瘤的风险较高,这类肿瘤通常需要采用莫氏显微外科手术(MMS)进行切除。如果不进行治疗,该手术造成的缺损会立即显现出来。通常需要采用重建技术来恢复患耳的外观及其与对侧耳的对称关系。然而,由于外耳结构精细复杂,要获得最佳美学效果颇具挑战。因此,在处理后天性缺损之前,应进行仔细的规划和实施。此外,根据缺损的大小和位置,各种符合重建阶梯的选择都能带来理想的效果。本文旨在强调并讨论莫氏显微外科手术后耳部重建所使用的不同技术。

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本文引用的文献

1
Anterior Ear Reconstruction with the Posterior Pull-through Flap.采用后拉式皮瓣进行耳部前侧重建。
Plast Reconstr Surg Glob Open. 2023 Oct 12;11(10):e5338. doi: 10.1097/GOX.0000000000005338. eCollection 2023 Oct.
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Auricular reconstruction after Mohs micrographic surgery: analysis of 101 cases.莫氏显微外科手术后的耳廓重建:101例分析。
An Bras Dermatol. 2021 Jul-Aug;96(4):408-415. doi: 10.1016/j.abd.2020.12.008. Epub 2021 Jun 3.
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Reconstruction of the Ear.耳部重建
Facial Plast Surg Clin North Am. 2019 Feb;27(1):95-104. doi: 10.1016/j.fsc.2018.08.010.
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Autologous Ear Reconstruction.自体耳再造
Semin Plast Surg. 2017 Aug;31(3):146-151. doi: 10.1055/s-0037-1603959. Epub 2017 Aug 9.
10
Partial Ear Defects.耳部部分缺损
Semin Plast Surg. 2017 Aug;31(3):134-140. doi: 10.1055/s-0037-1603968. Epub 2017 Aug 9.

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