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題 名 | Osteophyte-Related Rupture of a Scalp Tissue Expander--A Case Report and Literature Review=骨刺導致頭皮組織擴張器破裂--病例報告及文獻探討 |
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作 者 | 李柏穎; 李建智; 劉致和; 蒲啟明; 陳明庭; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷 期 | 25:3 2016.09[民105.09] |
頁 次 | 頁269-277 |
分類號 | 416.41 |
關鍵詞 | 組織擴張; 骨刺; 頭皮重建; 瘢痕性禿髮; Tissue expansion; Osteophyte; Scalp reconstruction; Cicatricial alopecia; |
語 文 | 英文(English) |
中文摘要 | 背景:組織擴張是一種廣泛被接受的重建手術方法,尤其適用在頭皮缺損的重建。然而組織擴張時會面臨許多併發症,像是感染、組織擴張器露出、組織擴張器破裂、及皮瓣壞死等,可能會導致重建失敗。目的及目標:報告使用組織擴張技術來重建大面積瘢痕性禿髮的案例,並且分享在因罕見的頭皮骨刺產生導致組織擴張失敗後續的搶救經驗,及作相關文獻探討。材料及方法:一位四十五歲男性,以左側顳頂部頭皮微血管畸形之頭皮腫瘤為表現,他接受了腫瘤切除及暫時性植皮,七個月後無微血管畸形復發,接受計畫內的頭皮組織擴張來重建大面積瘢痕性禿髮,然而,在組織擴張的後期,發生非預期性組織擴張器破裂,術中發現在組織擴張器下有罕見的頭骨骨刺增生,導致擴張的皮瓣無法重建全部瘢痕性禿髮,後續經歷多次瘢痕切除及局部皮瓣才成功完成了整個重建手術。結果:每次術後恢復都相當良好且無任何併發症,最終病人得到自然的頭髮並對於重建後的頭皮外觀感到滿意。結論:對於瘢痕性禿髮的頭皮重建,組織擴張器是強而有力的工具。組織擴張導致頭骨骨刺增生是一種罕見的狀態,我們建議使用硬底的組織擴張器來預防這種罕見頭骨變化導致的併發症。 |
英文摘要 | Background: Tissue expansion is a widely accepted technique in reconstructive surgery, especially in providing an excellent tissue match for scalp defects. However, it is associated with a variety of complications such as infection, expander exposure, implant failure, or flap necrosis, which may lead to reconstruction failure. Aim and Objectives: In this report, we present our experience using the tissue expansion technique to reconstruct a large scalp cicatricial alopecia and demonstrate the salvage procedures after expander failure caused by an unusual condition of multiple osteophyte formation. The relevant literature is also reviewed. Materials and Methods: A 45-year-old man presented a capillary malformation on the left temporoparietal scalp. He underwent complete excision without recurrence. The scalp tissue expansion was planned to reconstruct the cicatricial alopecia 7 months later. However, the expander deflated at a late stage of the expansion. The expanded flap was not large enough for reconstruction because of an unusual condition of multiple osteophyte formation beneath the expander, which resulted in its deflation. Subsequent serial excisions of the alopecia defect and local flap reconstruction were performed, and finally, successful reconstruction was achieved. Results: The patient regained natural looking hair distribution and was satisfied with the aesthetic result of the reconstructed scalp. Conclusions: Tissue expansion is a powerful tool for cicatricial alopecia reconstruction. Osteophyte formation is a rare condition resulting from tissue expansion. We suggest a hard base tissue expander to prevent the unusual complication. |
本系統中英文摘要資訊取自各篇刊載內容。