頁籤選單縮合
題名 | The Experience of Double Opposing Semicircular Flap for Closing Circular Defect=以雙重對側半圓形皮瓣來重建圓形缺損之經驗 |
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作者 | 蒲啟明; 吳瑞星; 李鐵國; 呂旭彥; | 書刊名 | 中華民國重建整形外科醫學會雜誌 |
卷期 | 8:4 1999.12[民88.12] |
頁次 | 頁264-271 |
分類號 | 416.41 |
關鍵詞 | 雙重對側半圓形皮瓣; 圓形缺損; Semicircular flap; Circular defect; |
語文 | 英文(English) |
中文摘要 | 圓形的缺損是臨床上時常遇到的問題,在以前已經有許多學者提出不同的解決方式,如:banner-shape flap, Lim berg skin flap… …等等。本文所提到的雙重對側半圓形皮瓣,是由Dr. Keser在1998年所提出,這是double Z-plasty的一種變形。從1998年11月到1999年10月間,我們使用這種方式來重建各不同部位的圓形缺損(頭皮,臀部,膝蓋,前小腿部),尺寸大小從2公分到6.5公分,獲得良好的結果。這種方法的好處有:一、不需要切除周圍正常的組織。二、最後縫合傷口的長度小於原來傷口直徑的3倍。三、Zig-zag的疤痕可減輕以後傷口的收縮。四、最後縫合的五條傷口中有三條是平行RSTL的。這種方法的缺點有:一、術前設計比較困難及複雜。二、輕微的dog-ear產生。我們認為雙重對側半圓形皮瓣是解決圓形缺損的一種好方法,缺損周圍皮膚的鬆緊度是決定手術成功與否的關鍵。仔細評估傷口及周圍正常組織的多寡並且小心的設計圖形,雙重對側半圓形皮瓣是一種值得採用的方法。 |
英文摘要 | A circular defect is a problem we usually come upon in medical practices. Several methods were adopted to solve the problem. However, none of the methods had produced any satisfactory results. Double opposing semicircular flap was designed by Abdulmuttalip Keser, MD et al. at 1998 to close the circular defect. This particular method was applied in six cases at our hospital on various occasions since 1998, and they were very successful. The details, advantage and disadvantage of the method were discussed in length. We concluded that, the double opposing semicircular flap is very recommendable in closing a circular defect. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。