手部瘢痕挛缩畸形综合性治疗的体会

手部烧伤后畸形占各部位烧伤后畸形的首位,单纯手术整复治疗效果并不理想,其功能与外形受到严重影响。我科根据瘢痕生长的自然过程,手部组织烧伤后改变的病理特点,以及将疾病预防、治疗、康复三者统一起     

人工舌——游离皮瓣再造的临床研究

舌癌外科手术治疗常造成半舌或大半舌缺损,不仅给患者造成语言、吞咽、咀嚼功能障碍及外观畸形且可导致精神上的创伤。为重建舌的外形及功能,我们采用前臂(桡、尺侧)皮瓣及肌皮瓣对21例舌缺损患者进行了修复与再造。全部成功,术后外形功能满意。本文介绍了舌再造手术方法,对舌的功能性修复及如何提高手术成功率进行了讨论和评价。     

Tongue Reconstruction with Free Forearm Radial or Ulnar Flap and Vascular Anastomosis:A Clinical Study of 21 Cases

Surgical treatment of tongue tumors usually results in a tongue defect half or more thanhalf of its original size which not only interferes with speech, swallow and mastication functions butalso creates contour deformity and induces mental suffering In order to restore the contour and func-tions of the tongue 21 cases of tongue defects were repaired and reconstructed with forearm radialor ulnar cutaneous or myocutaneous flaps All the transplanted flaps survived and the restored con-tour and functions were satisfactory. The surgical procedure of tongue reconstruction was intro-duced and how to have a satisfactory recovery of the tongue functions and raise the rate of successof the operation were discussed.     

乳晕上小切口假体植入隆乳术

硅凝胶假体植入仍为目前主要的隆乳方法。其手术入路各有不同。自1993年4月始我科采用乳晕上小切口入路行隆乳术16例,取得满意效果。1 临床资料本组16例,年龄26～43岁,全为已婚生     

烧伤后阴茎短小畸形及先天性小阴茎的临床治疗

先天性小阴茎及幼时因烧伤后瘢痕粘连或牵拉引起的阴茎短小畸形,一般植皮手术难以达到理想的效果。我们采用切断阴茎浅悬韧带和部分深悬韧带做阴茎延长,以阴囊交叉皮瓣覆盖延长的阴茎海绵体、或瘢痕切开松解后再做阴茎延长,效果满意。     

游离大网膜移植修复贯穿面颊的严重电击伤(附一例报告)

显微外科的进展促进了整形修复技术的发展。对面部损伤的修复,曾有游离皮瓣修复软组织缺损,游离肋骨移植修复下颌骨缺损,等报导。游离大网膜移植亦曾成功地用于修复头皮缺损,充填慢性骨髓炎的残留骨腔以及整容等目的。最近我们移植游离大网膜和中厚皮片早期修复一例从面部皮肤贯穿至口腔粘膜的严重电击伤,获得较满意效果,报     

Application of Forearm Ulnar Free Cutaneous or Myocutaneous Flap in Maxillofacial Surgery

Forearm ulnar cutaneous flap is a new type of flap which is safeand convinient, and it can be used for many purposes. It is superior to theradial cutaneous flap in that the wound on the donor site is ratherconcealed, the skin flap is less hairy, and it is easier to be made. The flapis suitable for repairing oral, maxillofacial and neck defects.Myocutaneous or osteomyocutaneous flap can be made on the basis of theskin flap. If the distal end of the flap is used as the pedicle, then anisland flap can be made for the repair of hand defect. The authors usedthis flap to repair 12 cases of oral or maxillofacial defects due to differentcauses. All the cases have been followed for 9-15 months. There wassatisfactory healing of the recipient site both cosmetically and functionallyin all the cases. At the donor site, there was no disturbance of the sensoryor motor functions of the forearm or the hand.     

游离组织瓣整复口腔颌面缺损的研究

口腔颌面部组织缺损,平时多见于肿瘤切除后,战时常见于火器性损伤后。此种患者不仅外观畸形,功能障碍,而且给患者造成心理上、精神上极大创伤。因此如何早期整复颌面部软组织、骨组织缺损是口腔颌面外科工作者研究和探索的重要课题。我科自1980年12月至1986年3月应用吻合血管组织瓣移植整复口腔颌面部组织缺损60例,获满意效果。     

异体脱钙骨在口腔科的临床应用<附52例报告>

异体脱钙骨的研究和应用已忣近百年的历史，因失败率高而进展缓慢。近年来随着免疫学的进展而对它的研究日渐增多，实验研究     

40例口腔癌切除后立即整复的初步总结

自1980年以来,我们对40例口腔癌患者进行了根治性切除立叩整复的工作,39例成功,1例失效,效果满意。现初步总结如下。