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| 題 名 | Facial Reconstruction after a Complicated Gunshot Injury=複雜性槍傷後顏面重建 |
|---|---|
| 作 者 | 龍威耀; 羅綸洲; 陳昱瑞; | 書刊名 | 長庚醫學 |
| 卷 期 | 25:8 2002.08[民91.08] |
| 頁 次 | 頁557-562 |
| 分類號 | 416.413 |
| 關鍵詞 | 槍傷; 顏面重建; 團隊治療; Gunshot injury; Facial reconstruction; Multidisciplinary management; |
| 語 文 | 英文(English) |
| 中文摘要 | 顏面槍傷是一項少見但複雜的臨床目題,因為其特殊的傷害機制,早期積極或的一次或重建可能不是曘理想的方法。初期保守性處理,然後利用分期式二認性重建可以得到功能上及美觀上滿意的結果。顱顎顏部位缺損的重建需要多部門的團隊合作,型式與唇顎裂病人的重建相同。這�堻孎i一個嚴重槍傷畸形的男性病人,經由團隊評估顯示上顎後縮,牙齒咬合異常,硬顎一個大洞,顎咽閉鎖不全,然而心理社會狀態穩定。他主訴顏面蛉觀不正常要求改善,經過幾次手術,包括正顎手術,鼻矯正術,唇瓣移轉術,首修疤術,得而滿意的外觀。此結果顯示對此罕見的問題需要仔細的術前評估以及治療計畫擬定。 |
| 英文摘要 | Facial gunshot injuries are unusual and complicated clinical entities. Because of the mechanism of injury, early aggressive primary reconstruction might not be ideal. Initial conservative management followed by staged secondary reconstruction could be performed to obtain satisfactory functional and aesthetic results. Reconstruction of the cranio-maxillofacial deformities requires a multi-disciplinary approach, the same way as for patients with cleft lip/palate deformities. We present a male patient with severe facial gunshot injuries. A team approach revealed maxilla recession, dental malocclusion, a large oronasal fistula over his hard plate, velopharyngeal insufficiency, and a stable psychosocial status. His main concern was facial appearance, which included the nose, lip, and scars. Staged reconstructions were performed, consisting of orthognathic surgery, rhinoplasty, lip-switch flap, and revisions of scars. A satisfactory outcome was obtained. The results indicated the importance of preoperative evaluation and treatment planning for this uncommon problem. |
本系統中英文摘要資訊取自各篇刊載內容。