Analysis of reconstructive methods in surgical treatment of small nasal skin defects

Marko Stevan Jovic

doi:10.2298/VSP140829052J

Marko Stevan Jovic Clinic of Burns, Plastic and Reconstructive Surgery, Clinical Center of Serbia, Belgrade, Serbia

DOI: https://doi.org/10.2298/VSP140829052J

Ključne reči: nose||, ||nos, carcinoma, basal cell||, ||karcinom, bazocelularni, reconstructive surgical procedures||, ||hirurgija, rekonstruktivna, procedure, surgical flaps||, ||režnjevi, hirurški, transplants||, ||graftovi, treatment outcome||, ||lečenje, ishod, esthetics||, ||estetika,

Sažetak

Uvod. Hirurzi često imaju dilemu prilikom izbora rekonstruktivne metode kod rekonstrukcije defekata kože nosa. U radu su analizirane funkcionalne i estetske karakteristike različitih rekonstruktivnih metoda korišćenih kod rekonstrukcije defekata kože nosa.

Metode. Studija je obuhvatila 44 pacijenta sa bazocelularnim karcinomom kože nosa. Koža nosa je podeljena na četiri regije: vrh nosa, alarni predeli, dorzum, i lateralne strane nosa. Prosečna veličina defekta kože nosa, nastalog nakon ekscizije bazocelularnog carcinoma, je 10 mm u prečniku. Za rekonstrukciju defekta kože nosa korišćeni su lokalni kožni režnjevi i transplantati kože pune debljine. Analizirane su funkcionalne i estetske karakteristike korišćenih rekonstruktivnih metoda, dvanaest meseci nakon operacije.

Rezultati. Studija je pokazala da različite rekonstruktivne metode imaju različite funkcionalne i estetske rezultate u istim regijama nosa, kao i da ista rekonstruktivna metoda ima drugačije rezultate u različitim regijama nosa.

Zaključak. Procena postoperativnih funkcionalnih i estetskih karakteristika različitih rekonstruktivnih metoda jedan je od osnovnih preduslova uspešne rekonstrukcije.

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Analiza rekonstruktivnih metoda u hirurškom tretmanu defekata kože nosa

Sažetak

Reference