论文部分内容阅读
目的:探讨老年颌面部皮肤癌个性化手术治疗方法及术后缺损的修复效果。方法:选取1997年5月~2013年5月颌面部皮肤癌老年患者100例,根据发病部位、累及范围、肿瘤病理情况给予切除后采用直接缝合法、局部随意皮瓣修复、局部随意皮瓣+皮片修复、皮片修复、轴型皮瓣修复及游离皮瓣修复,观察术后修复效果。结果:1例额瓣修复患者出现局部边缘坏死、2例皮片部分坏死,其余均一期愈合。随访36个月以上,1例8个月后出现颈部淋巴结转移,给予颈淋巴结清扫术。所有患者均术后外形、功能恢复良好。结论:根据老年颌面部皮肤癌发生部位、大小范围及病变性质、老年皮肤特点行个体化手术设计,可最大限度修复面部缺损,且面部外形美观、功能恢复良好。
Objective: To explore the method of personalized surgery for the treatment of maxillofacial skin cancer in elderly patients and the effect of postoperative defect repair. Methods: From May 1997 to May 2013, 100 elderly patients with maxillofacial skin cancer were selected. According to the location, extent of involvement and tumor pathology, direct suturing, local random flap repair, local random flap + Skin repair, skin repair, axial flap repair and free flap repair, observe the effect of postoperative repair. Results: One case of partial lobe repair showed partial marginal necrosis, two cases of partial necrosis of the skin and the rest of the cases were healed in one time. Follow-up of more than 36 months, 1 case of cervical lymph node metastasis after 8 months, given cervical lymph node dissection. All patients were postoperative shape and function recovered well. Conclusion: According to the location, size range and lesion characteristics of elderly patients with maxillofacial skin cancer, the characteristics of the elderly skin are individually designed to maximize the facial defect and the appearance of the face is good and the function is recovered well.