下颌骨切除重建的拉皮入路。

Head & Neck Pub Date : 2014-10-01 Epub Date: 2013-12-18 DOI:10.1002/hed.23484

Bernardo Bianchi, Andrea Ferri, Silvano Ferrari, Chiara Copelli, Enrico Sesenna

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引用次数: 8

摘要

背景:下颌骨切除术是治疗几种颌骨病变的主要方法。当接近良性病变时，考虑到美容效果，有限的暴露和较少的侵入性接触是减少发病率和提高患者术后生活质量的理想选择。拉皮入路广泛用于除皱、腮腺切除和面部动画手术，而其在下颌切除和重建中的应用尚未被描述。方法:回顾性分析6例采用游离皮瓣或骨移植行下颌骨切除术重建的患者的功能和外观。结果:未发生闭塞或面神经损伤;4例患者开口正常，2例部分受限。3例患者美容效果评价为优，3例评价为良。结论:拉皮入路是切除和重建下颌支、角和后体良性病变的有效选择。

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Facelift approach for mandibular resection and reconstruction.

Mandibular resection is the mainstay in the treatment of several pathologies involving the jaw. When benign lesions are approached, a limited exposure and less invasive access considering the cosmetic outcome is desirable to reduce morbidity and increase patient's quality of life after surgery. The facelift approach is widely used for rhytidectomy, parotidectomy, and facial animation procedures, whereas its use for mandibular resection and reconstruction is not described yet.

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Head & Neck

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