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題名 | The Experience of Nasal Reconstruction with Tagliacozzi Arm Flap=Tagliacozzi皮瓣用於鼻部缺損之重建經驗 |
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作者姓名(中文) | 黃仁炫; 劉致和; 陳明庭; | 書刊名 | 中華民國重建整形外科醫學會雜誌 |
卷期 | 6:1 1997.03[民86.03] |
頁次 | 頁36-41 |
分類號 | 416.413 |
關鍵詞 | Tagliacozzi皮瓣; 鼻部缺損; 重建; Medial upper arm flap; Skin tube; Nasal reconstruction; |
語文 | 英文(English) |
中文摘要 | 利用Tagliacozzi皮瓣作鼻部的重建是傳統整形外科手術之一。雖然Tagliacozzi皮瓣近年來較少被使用,但是對於臉部受化學性燒傷導致鼻部的缺損及其他屬於表面敷蓋性重建(resurfacing),該皮瓣仍是很好的選擇。我們報告五例嚴重化學性燒傷的病人及一例血管畸型經硬化劑治療後之鼻缺損,接受Tagliacozzi皮瓣重建,得到不錯的結果。我們認為有幾種情況值得考慮用這皮瓣做鼻部重建:(1)前額部有全面性疤痕;(2)不希望在臉上增加額外的疤痕;(3)前額部窄小;(4)前額曾有惡性腫瘤;(5)小孩。它的缺點是顏色契合較差,姿勢的固定較難須要病人耐心的合作,以及需階段性的手術,故治療時間較長。我們的作法是用此皮瓣作為表面敷蓋性重建,而非用來重建沒有骨架之鼻子。 |
英文摘要 | Flap reconstruction of the nose has challenged plastic surgeons for centuries, since Tagliacozzi in 1597 attempted to restore the nose with the arm flap. We have experienced 5 cases of chemical facial burns and one case of vascular malformation underwent nasal reconstruction successfully wiht the Tagliacozzi flap. Although nearby facial tissues provide the best material with which to repair the soft tissue loss of the nose, this is not always possible. The Tagliacozzi is still the perferred flap in several situations (1) a severely scarred forehead, (2) objection to additional facial scarring, (3) a narrow forehead, (4) the presence of malignant lesion of the forehead and (5) total nasal reconstruction in children. This method is an attractive alternative procedure solved a difficult reconstruction problem. We present these 6 cases based on miniaturize the Tagliacozzi flap and utilize this flap with main purpose of resurfacing, but not to make a major framework of the nose. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。