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小儿眼眶面部皮样囊肿的外科治疗

The surgical management of orbitofacial dermoids in the pediatric patient.

作者信息

Bartlett S P, Lin K Y, Grossman R, Katowitz J

机构信息

Division of Plastic Surgery and Ophthalmology, University of Pennsylvania, Philadelphia.

出版信息

Plast Reconstr Surg. 1993 Jun;91(7):1208-15. doi: 10.1097/00006534-199306000-00005.

DOI:10.1097/00006534-199306000-00005
PMID:8497520
Abstract

Orbitofacial dermoids in the pediatric population represent a diverse group of lesions. Because of their variability in both clinical presentation and contiguous structure involvement, a thorough understanding of their surgical-pathologic anatomy is imperative. In this retrospective review of 84 lesions in 84 patients, we noted segregation of the lesions into three distinct subgroups: brow region dermoids, orbital region dermoids, and nasoglabellar dermoids. Further, we identified physical characteristics within each subgroup that appeared to direct diagnostic workup and subsequent surgical intervention. From this experience, a treatment algorithm was developed that gives the practitioner more precision in the management of these lesions.

摘要

儿科人群中的眶面部皮样囊肿是一组多样的病变。由于其临床表现和相邻结构受累情况的变异性,深入了解其手术病理解剖结构至关重要。在这项对84例患者的84处病变的回顾性研究中,我们注意到病变可分为三个不同的亚组:眉区皮样囊肿、眶区皮样囊肿和鼻根皮样囊肿。此外,我们在每个亚组中确定了似乎可指导诊断检查和后续手术干预的物理特征。基于这一经验,制定了一种治疗算法,使从业者在这些病变的管理中更具精确性。

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