胸重建。个案数目

G. Mónica, Palacios Juárez Julio, S. Hirosi, H. Erik, Franco González Samantha
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引用次数: 0

摘要

胸壁的重建对整形外科医生来说仍然是一个巨大的挑战,因为没有精确的算法来完成它;由于胸腔的复杂性,有多种选择来进行重建,这涉及到肺生理的恢复,胸腔的稳定和软组织的充分覆盖。三年内(2015年1月- 2018年3月)进行了五次重建。这些患者采用带蒂肌肉瓣进行,随访一年,在这段时间间隔内,有一名患者在3个月时因肿瘤复发而死亡,但未报告手术相关并发症。对于胸廓病变复杂的患者,其重建应提供足够的覆盖,也要保证胸廓的稳定性和尽可能令人满意的美观效果,带蒂皮瓣的使用提供了一个带血管的组织,以恢复胸廓的完整性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Thoracic Reconstruction. Number of Cases
The reconstruction of the thoracic wall continues to be a great challenge for the plastic surgeon, since there is no precise algorithm to carry it out; due to the complexity of the thorax, there are multiple alternatives to perform the reconstruction, this involves the restoration of pulmonary physiology, stabilization of the thorax and adequate coverage of soft tissues. Five reconstructions were carried out over 3 years (January 2015-March 2018). These were carried out with pediculated muscle flaps, the patients were followed for a year, in this time interval the death of a patient was reported at 3 months, due to oncological recurrence, however, no associated complications to the procedure were reported. The reconstruction in patients with thoracic pathologies, are of great complexity, adequate coverage should be provided, also stability to the thorax and an aesthetic result as satisfactory as possible, the use of pedicled flaps provides a vascularized tissue, to return the integrity of the thorax.
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