先天性面部病变缺损的组织扩张一期修复
Primary reconstruction of congenital facial lesion defects with tissue expansion.
作者信息
Frodel J L, Whitaker D C
机构信息
Department of Otolaryngology-Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City 52242.
出版信息
J Dermatol Surg Oncol. 1993 Dec;19(12):1110-6. doi: 10.1111/j.1524-4725.1993.tb01008.x.
BACKGROUND
Congenital facial lesions may require surgical intervention to correct deformity or to decrease the potential for malignant degeneration.
OBJECTIVE
Hemangiomata and melanocytic and sebaceous nevi are among the most common congenital facial defects. The techniques and outcome of serial tissue expansion in the management of facial lesions were evaluated.
METHODS
Seven pediatric patients had congenital facial defects treated with tissue expansion and subsequent excision and reconstruction.
RESULTS
All patients had a satisfactory outcome. Complications are reviewed, and in this patient population were minor.
CONCLUSIONS
Tissue expansion has a role in surgical management of congenital facial lesions. Staged excision, skin grafting and nonintervention are also options which must be individualized to the case at hand.
背景
先天性面部病变可能需要手术干预来矫正畸形或降低恶性退变的可能性。
目的
血管瘤、黑素细胞痣和皮脂腺痣是最常见的先天性面部缺陷。评估了连续组织扩张术治疗面部病变的技术和效果。
方法
7例儿科患者的先天性面部缺陷采用组织扩张术，随后进行切除和重建。
结果
所有患者效果满意。回顾了并发症情况，在该患者群体中并发症较轻微。
结论
组织扩张术在先天性面部病变的手术治疗中具有一定作用。分期切除、植皮和不干预也是选择，必须根据具体病例个体化处理。
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