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Cirugía reparadora del párpado inferior en pacientes afectados por carcinomas basocelulares

机译:基底细胞癌患者的下眼睑修复手术

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摘要

Foundation : Patients with parpebral lesions caused by basocelular carcinomas, come regularly to the Dermatology, Ophtalmology, and Reconstructive Surgery and Maxillofacial surgery consultations. When the surgical treatment of these lesions is not adequate, there may be sequelae such as palpebral deformations which cause functional and esthetics difficulties. Objective : to describe the results of the Casta?ón surgical technique modified for repairing the lower eyelid of patients affected by basocelular carcinomas. Methods : a study of case series was used, with patients affected by basocelular carcinomas. They were operated by the technique of total or partial excision of the lower eyelid in triangle form and with immediate reconstruction, in the Hospital Dr. Gustavo Aldereguía Lima. Cienfuegos in the year 2015. Results: from the 15 patients who were operated, 9 were women and sex men, all of white race aged between 60 and 80 years. In all it was used the myocutaneous flap, together with a thin layer of cartilage of the auricular concha. From the 15 patients who were operated only one had a torpid evolution, but in the end the result was satisfactory. Conclusion : the modification to the technique introduced by Casta?ón has the advantage that it avoids the unnecessary loss of tissue, not having to remove in a rectangular form an extensive lesion. Its effectiveness was evidenced in all the patients.
机译:基金会:患有由基底细胞癌引起的睑板病变的患者,应定期去皮肤科,眼科,重建外科和颌面外科咨询。如果对这些病变的手术治疗不充分,则可能会出现后遗症,例如睑掌变形,从而导致功能和美学上的困难。目的:描述改良的Casta?ón外科手术技术修复基底细胞癌患者下眼睑的效果。方法:采用病例系列研究方法,对患有基底细胞癌的患者进行研究。他们在医院GustavoAldereguíaLima博士通过完全或部分切除三角形下眼睑的技术进行手术,并立即重建。西恩富戈斯(Cienfuegos)在2015年的研究结果。手术的15例患者中,有9例为女性和性男人,所有白人种族年龄在60至80岁之间。全部使用了肌皮瓣,以及耳廓软骨的薄层软骨。在接受手术的15例患者中,只有1例发生了恶性发展,但最终结果令人满意。结论:对Casta?ón引入的技术的改进具有避免不必要的组织损失的优势,而不必以矩形形式去除广泛的病变。在所有患者中均证明了其有效性。

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