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电外科手术在颌面整形与美容外科中的应用。

The use of electrosurgery in reconstructive and cosmetic maxillofacial surgery.

作者信息

Peterson A

出版信息

Dent Clin North Am. 1982 Oct;26(4):799-823.

PMID:6958599
Abstract

The electrosurgical incision is not cutting incision but one that causes molecular dissolution along the path of the electrode. This phenomenon helps demonstrate how electrosurgery may be performed with a minimal amount of scar tissue. The atraumatic electrosurgical removal of undesirable tissue of traumatically or pathologically altered parts of the maxillofacial anatomy allows esthetic results equal to and in some cases superior to the steel scalpel. Tissue undergoing electrosurgery must be adequately hydrated for satisfactory results. The surgeon using electrosurgery must be properly trained and thoroughly familiar with electrosurgical techniques. He must also be familiar with the effects of local wound environment on healing.

摘要

电外科切口并非切割切口,而是一种沿电极路径导致分子溶解的切口。这一现象有助于说明如何以最少的瘢痕组织进行电外科手术。对上颌面部解剖结构受创伤或病理改变部位的不良组织进行无创伤性电外科切除,可获得与手术刀相当甚至在某些情况下优于手术刀的美学效果。接受电外科手术的组织必须充分水化才能取得满意效果。使用电外科手术的外科医生必须接受适当培训并完全熟悉电外科技术。他还必须熟悉局部伤口环境对愈合的影响。

相似文献

1
The use of electrosurgery in reconstructive and cosmetic maxillofacial surgery.电外科手术在颌面整形与美容外科中的应用。
Dent Clin North Am. 1982 Oct;26(4):799-823.
2
[Incision- and suture-techniques in plastic surgery of the face (author's transl)].[面部整形手术中的切口与缝合技术(作者译)]
Laryngol Rhinol Otol (Stuttg). 1980 Oct;59(10):611-6.
3
[Indication and results of esthetic surgery in the maxillofacial region].[颌面区域美容手术的适应症与结果]
Stomatol DDR. 1985 Oct;35(10):565-71.
4
Removal of hyperplastic lesions of the oral cavity. A retrospective study of 128 cases.口腔增生性病变的切除。128例回顾性研究。
Med Oral Patol Oral Cir Bucal. 2005 Mar-Apr;10(2):151-62.
5
[Reconstructive problems in maxillofacial surgery].[颌面外科中的重建问题]
Dent Cadmos. 1982 Jan;50(1):11-21.
6
Electrosurgery in otolaryngology-head and neck surgery: principles, advances, and complications.耳鼻咽喉-头颈外科中的电外科手术:原理、进展及并发症
Laryngoscope. 2001 May;111(5):769-80. doi: 10.1097/00005537-200105000-00004.
7
A comparison of monopolar electrosurgery to a new multipolar electrosurgical system in a rat model.在大鼠模型中对单极电外科手术与一种新型多极电外科系统的比较。
Laryngoscope. 2001 Feb;111(2):213-7. doi: 10.1097/00005537-200102000-00005.
8
Broader horizons and indications for use of electrosurgery in oral surgery.口腔外科中电外科手术更广阔的视野及应用指征
Dent Clin North Am. 1982 Oct;26(4):729-44.
9
Effects of steel scalpel, ultrasonic scalpel, CO2 laser, and monopolar and bipolar electrosurgery on wound healing in guinea pig oral mucosa.钢刀、超声刀、二氧化碳激光以及单极和双极电刀对豚鼠口腔黏膜伤口愈合的影响。
Laryngoscope. 2003 Feb;113(2):228-36. doi: 10.1097/00005537-200302000-00007.
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[Thermal injury and wound healing of the endometrium subsequent to minimally invasive transendoscopic use of Nd:YAG-laser-and electrosurgery in horses].[马经阴道内镜微创使用Nd:YAG激光和电外科手术后子宫内膜的热损伤与伤口愈合]
Dtsch Tierarztl Wochenschr. 2003 Jul;110(7):271-80.

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Post-skin incision scar tissue assessment using patient and observer scar assessment scales: A randomised controlled trial.使用患者和观察者瘢痕评估量表进行皮肤切口后瘢痕组织评估:一项随机对照试验。
Ann Med Surg (Lond). 2021 Nov 1;71:103006. doi: 10.1016/j.amsu.2021.103006. eCollection 2021 Nov.
2
Randomized, clinical trial on diathermy and scalpel incisions in elective general surgery.择期普通外科手术中透热疗法与手术刀切口的随机临床试验。
Iran Red Crescent Med J. 2015 Feb 21;17(2):e14078. doi: 10.5812/ircmj.14078. eCollection 2015 Feb.
3
Diathermy vs. scalpel skin incisions in general surgery: double-blind, randomized, clinical trial.
普通外科中透热疗法与手术刀皮肤切口的比较:双盲、随机临床试验
World J Surg. 2009 Aug;33(8):1594-9. doi: 10.1007/s00268-009-0064-9.