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[带蒂皮管在面部及口腔器官修复手术中的应用变体]

[Variants in using the tubed pedicle in restorative operations on the face and the organs of the oral cavity].

作者信息

Arzhantsev P Z, Gorbulenko V B, Nikitin A A, Spiridonova N Z

出版信息

Voen Med Zh. 1995 Jan(1):34-9, 80.

PMID:7725653
Abstract

This article is based on 83 histories (89% male, 11% female) of patients who were operated for penetrating or superficial maxillofacial defects and deformations. 293 step-by-step operations were conducted using the bucket-handle graft in combination with nearest tissues. Age of patients: from 18 to 65. The Filatov-Gillies tubed pedicle was used as a carrier for hair-covering chin grafts which were implanted into de-epidermized zones during the formation of eyebrows in supraorbital areas. Bucket-handle graft was also used for reconstruction of lips, including vermillion border. The article contains the history and a photo of a woman who was operated for basaloma of nose and upper lip. After the destruction of a new growth by cryogenic method the plasty of upper lip and vermillion border was carried out with the help of one Filatov-Gillies tubed pedicle. The healing of wounds have proceeded without complications in 93.9 +/- 1.4% of cases. In 2 patients a partial necrosis of graft took place. One graft was removed. The divergence of stitches was marked in 15 (18%) of patients. Nevertheless it did not influence upon the outcome of reconstructive treatment.

摘要

本文基于83例接受穿透性或浅表性颌面缺损及畸形手术患者的病史(男性89%,女性11%)。使用桶柄状移植物结合最近组织进行了293次分步手术。患者年龄在18岁至65岁之间。菲拉托夫-吉利斯管状蒂被用作覆盖毛发的下巴移植物的载体,这些移植物在眶上区域眉毛形成过程中植入去表皮区域。桶柄状移植物也用于唇部重建,包括唇红缘。本文包含一名因鼻及上唇基底细胞瘤接受手术的女性的病史和照片。通过低温方法破坏新生物后,借助一个菲拉托夫-吉利斯管状蒂对上唇和唇红缘进行了整形。93.9±1.4%的病例伤口愈合过程无并发症。2例患者移植物出现部分坏死。移除了一个移植物。15名(18%)患者出现缝线裂开。然而,这并未影响重建治疗的结果。

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1
[Variants in using the tubed pedicle in restorative operations on the face and the organs of the oral cavity].[带蒂皮管在面部及口腔器官修复手术中的应用变体]
Voen Med Zh. 1995 Jan(1):34-9, 80.
2
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