Schneider G L, Rudolph R, Greenway H T, Miller S H
Division of Plastic and Reconstructive Surgery, Scripps Clinic and Research Foundation, La Jolla, California 92037, USA.
Int Surg. 1997 Oct-Dec;82(4):339-49.
Over 8 years, 1700 patients were referred from the Mohs' Surgery and Cutaneous Laser Unit after Mohs micrographic skin tumor excision to the Division of Plastic and Reconstructive Surgery. Preoperative coordination between the two divisions was emphasised in wound preparation and timing of reconstruction for maximized patient convenience and outcome. Most repairs of facial and extremity defects were carried out under local anesthesia. Techniques of repair were selected based upon algorithmic priorities emphasizing simple techniques over complex ones. Direct closure, skin grafts and flaps were used. Preference for aesthetic subunit reconstruction of the face and the use of particular flap techniques including the O-to-S, O-to-T, V-to-Y island advancement, islandized nasolabial flap for alar reconstruction and the forehead flap for nasal dorsum and tip repair are illustrated.
在8年多的时间里，1700名患者在莫氏显微外科皮肤肿瘤切除术后，从莫氏外科和皮肤激光科转诊至整形与重建外科。强调了两个科室在术前进行协调，包括伤口准备和重建时机，以最大程度地方便患者并提高治疗效果。面部和四肢缺损的大多数修复手术在局部麻醉下进行。修复技术根据算法优先级进行选择，强调优先采用简单技术而非复杂技术。采用了直接缝合、植皮和皮瓣等方法。文中展示了对面部美学亚单位重建的偏好，以及使用特定皮瓣技术，包括O形至S形、O形至T形、V形至Y形岛状推进皮瓣、用于鼻翼重建的岛状鼻唇沟皮瓣以及用于鼻背和鼻尖修复的额部皮瓣。
