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題名 | External Auditory Canal Reconstruction with Temporoparietal Fascia Flap and Skin Graft after Cancer Ablation--A Case Report=癌切除後以顳葉筋膜瓣及植皮進行外耳道重建--個案報告 |
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作者 | 王仁鐸; 李威霆; 李曜洲; Wang, Jen-to; Lee, Wei-ting; Lee, Yao-chou; |
期刊 | 臺灣整形外科醫學會雜誌 |
出版日期 | 20170900 |
卷期 | 26:3 2017.09[民106.09] |
頁次 | 頁356-364 |
分類號 | 416.81 |
語文 | eng |
關鍵詞 | 外耳道重建; 植皮; 顳葉筋膜瓣; External auditory canal; Temporoparietal fascia flap; |
中文摘要 | 背景:外耳道惡性腫瘤很罕見,因此,標準化的分期系統及相對應治療協議尚未被良好建立,甚且,局部 解剖學很複雜,完全性切除和聽力保留重建仍是一項困難任務。目的及目標:本篇文章的目的在分享我們成功治療一位早期外耳道鱗狀上皮細胞癌的經驗。材料及方法:一位62歲女性因為耳朵痛而被診斷出第二期外耳道鱗狀上皮細胞癌,袖口式切除合併鼓膜移除達到完全性切除,顳葉筋膜瓣及植皮加上術後兩個月的泡棉填塞達成聽力保留重建,術後給予放射線輔助治療。結果: 術後恢復一切順利,在兩年的追蹤,病人無癌症復發且外耳道通暢,傳導性聽力維持術前的水準。結論: 對於外耳道早期癌症,完全性切除合併顳葉筋膜瓣及植皮重建可得到令人滿意的功能和美觀的結果。 |
英文摘要 | Background: Malignancy of the external auditory canal is rare. Hence, standardized staging system and corresponding treatment protocol have not yet well-established. In addition, the regional anatomy is complex. Therefore, resection with negative margins followed by reconstruction with hearing preservation remains a challenging task. Aim and Objectives: The purpose of this article is to provide our successful experience in treating an early-stage external auditory canal squamous cell carcinoma. Materials and Methods: A 62-year-old woman presented with otalgia and was diagnosed with external auditory canal squamous cell carcinoma (T2N0, stage II). Sleeve resection with additional removal of the tympanic membrane achieved negative margins. Hearing preserving reconstruction of the external auditory canal and tympanic membrane by using the pedicled temporoparietal fascia flap and rolled-up skin graft was performed followed by 2-months Gelform packing. Adjuvant radiotherapy was given. Results: The postoperative recovery was uneventful. At 2-years follow-up, the patient was cancer-free and the external auditory canal was patent. Conductive hearing ability was compatible with the preoperative status. Conclusion: For early-stage malignancy of external auditory canal, resection with negative margins and reconstruction with temporoparietal fascia flap and skin graft could yield satisfactory functional and aesthetic results. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。