Kuvakwazve Pashure peKana Kanzera

by Natalie Kita

Reconstructive Plastic Surgery Pamberi uye Pakupera Mifananidzo

Mushure mekuvhiyiwa kubvisa kenza yemuviri , unogona kunge uine zvinetso zvakawanda, chimwe chazvo zvichida iwe uchaona sei. Izvi zvinonyanya kuitika kana chirwere ichi chakaitwa panzvimbo yakakurumbira uye inokosha sechiso chenyu.

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Pamberi & Pashure Peganda Kanzera Kuvandudzwa

Dr Jacono - Mutezo # 1 Kuvhiyiwa kwekuvandudza kwakaitwa neNew York bhodhi yepamusoro yepurasitiki uye chiremba anovhiya, Andrew Jacono, MD, FACS. Mifananidzo © Andrew Jacono, MD, FACS

Kuvhiyiwa kwepurasitiki pamapurisa mushure mekenza yemuviri inoratidzika uye yakasiyana-siyana yekuvhiya, uye zvinokosha kubvunza mibvunzo yakawanda uye kubhadhara zvakanyanya kune izvo chiremba wako anotaura pamusoro pezvaunogona kuita.

Dermatologist yako kana Mohs chirwere chepfungwa (ani zvake akaita chepachirwere cheganda rako) anogona kukwanisa kupedzisa kuvakazve yako panguva iyo chirwere chako chabviswa, kana kuti angakuendesa kune chiremba wechiremba wepurasitiki kuti uite upiyona hwekuvandudza.

Iyi guramu ine chinyorwa uye mushure mezvifananidzo zvingave zvakajeka uye / kana kusagadzirisa. Izvo zvisati zvaitika mifananidzo zvakatorwa mushure mekuvhiyiwa kweMohs kubvisa zvipembenene zvinokonzera kenza kubva pachiso. Izvo mushure mifananidzo zvinoratidza zviitiko mushure mekugadzirwa kwekuvandudza kugadzirisa zvikanganiso zvakasara mushure mekunge kenza yakabviswa.

Kuonekwa kumusoro: Cheek uye Eyelid Maitiro Okugadziriswa. Mwoyo murefu wakaiswa mutsipa unoiswa mutsipa, uye pfupa uye cheek rotation flap nzira yekuvhara dambudziko iri guru.

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Pamberi & Pashure Peganda Kanzera Kuvandudzwa

Dr Jacono - Mutezo # 2 Kuvhiyiwa kwekugadzirisa kunoitwa neNew York bhodhi yepamusoro yepurasitiki uye chiremba anovhiya, Andrew Jacono, MD, FACS. Mifananidzo © Andrew Jacono, MD, FACS

Pamusoro Lipamusoro Chekuvakwazve. Mwoyo murefu wakave nekugadziriswa kwepachipiri, kukwereta cheek ganda kuti agadzirise muromo wepamusoro. Dzidza zvakawanda pamusoro pekuvhiyiwa kwechimbwa .

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Pamberi & Pashure Peganda Kanzera Kuvandudzwa

Dr Jacono - Mutezo # 3 Kuvhiyiwa kwekugadzirisa kunoitwa neNew York bhodhi yepamusoro yepurasitiki uye chiremba anovhiya, Andrew Jacono, MD, FACS. Mifananidzo © Andrew Jacono, MD, FACS

Nasal Kuvandudza Kuvakazve ne Multiple Staged Repair. Ichi chakaremara chaida kurapwa kwemashure maviri uchishandisa pedicled (inoramba yakabatanidzwa kumunhu anopa mvumo) mupi wepamuviri (kubva kumusoro kwekona remukati pepahuma) pfupa yepamusoro. Chikamu chechipiri chaisanganisira kupatsanura (kuparadzanisa) chibatanidza chembambo.

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Pamberi & Pashure Peganda Kanzera Kuvandudzwa

Dr DeLuca - Murwere # 1 Kuvhiyiwa kwekugadzirisa kunoitwa naLouis DeLuca, MD, FACS, weBoca Raton, FL. Mifananidzo © Louis DeLuca, MD, FACS

Uyu mukadzi wemakore makumi manomwe nemasere ane chiremera chakakura chinosanganisira muromo wake wakaderera mushure mekunge abviswa kwe squamous cell carcinoma . Nzira yekufambira mberi kweputi yakaitwa. Izvo mushure mifananidzo inoratidza chigumisiro chakanakisisa nekugadziriswa kwemuzasi mupfu kuenderera mberi uye kuregererwa kuduku mumuromo wake kuvhura.

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Pamberi & Pashure Peganda Kanzera Kuvandudzwa

Dr DeLuca - Mutezo # 2 Kuvhiyiwa kwekuvandudza kwakaitwa naLouis DeLuca, MD, FACS, weBoca Raton, FL. Mifananidzo © Louis DeLuca, MD, FACS

Uyu mukadzi wemakore makumi mashanu nemasere ane chirwere che squamous cell carcinoma akabviswa kubva kurudyi rwomukati wake. A bilobed flap purogiramu yakaitwa. Iko mushure mifananidzo inoratidzira mhinduro yemurwere kwemwedzi mitanhatu mushure mekuvhiyiwa pasina kusvibiswa kwenyama yake yemasine.

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Pamberi & Pashure Peganda Kanzera Kuvandudzwa

Dr DeLuca - Mutezo # 3 Kuvhiyiwa kwekuvandudza kwakaitwa naLouis DeLuca, MD, FACS, weBoca Raton, FL. Mifananidzo © Louis DeLuca, MD, FACS

Uyu mukadzi ane makore 67 ane chirwere che squamous cell carcinoma akabviswa kubva kumucheto wake wekumusoro. A bilobed flap purogiramu yakaitwa. Izvo zvifananidzo zvinotevera zvinoratidzira murwere achangobva kuvhiyiwa uyezve mwedzi mitanhatu shure-operative pasina kusvibiswa kwenyama yake yemasal.

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Pamberi & Pashure Peganda Kanzera Kuvandudzwa

Dr Steinbrech - Murwere # 1 Kuvhiyiwa kwekuvandudza kwakaitwa naDouglas S. Steinbrech, MD, FACS, yeNew York, NY. Mifananidzo © Douglas S. Steinbrech, MD, FACS

Murwere aiva nekenza yemasalense pamhino dzake iyo yakabviswa kuburikidza nekuvhiyiwa kwaMohs . Kuvakwazve kwakagadzirwa kuburikidza ne-bi-lobed local rotation kufambira mberi kweputi , izvo zvinoreva kuti ganda rakaunganidzwa pamwe uye rakarongekazve mumhino dzichishandisa bundu rebiri. Nenzira iyo mhirizhonga yemhino pachayo haikwanise kuparadzaniswa kana kusanzwisiswa kwakasununguka.

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Pamberi & Pashure Peganda Kanzera Kuvandudzwa

Dr Steinbrech - Murwere # 2 Kuvhiyiwa kwekugadzirisa kunoitwa naDouglas S. Steinbrech, MD, FACS, yeNew York, NY. Mifananidzo © Douglas S. Steinbrech, MD, FACS

Murwere aiva nekenza yemukomana pahuma yake yakabviswa kuburikidza nekuvhiyiwa kwaMohs . Kuvakwazve kwakagadziriswa kuburikidza nekufambisa kwenzira yekufambira mberi. Ganda racho rakaunganidzwa uye rakarongeka pamusoro pebhanhire nenzira inokosha kuitira kuti pfupa pachayo irege kuparadzaniswa kana kuti isiri-yakasimudzwa. Mufananidzo wePost-op wakatorwa mazuva manomwe, mumatanho ekutanga okurapa. Iko ruvara ruchapera zvikuru kupfuura nguva.

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Pamberi & Pashure Peganda Kanzera Kuvandudzwa

Dr Steinbrech - Murwere # 3 Kuvhiyiwa kwekugadzirisa kunoitwa naDouglas S. Steinbrech, MD, FACS, yeNew York, NY. Mifananidzo © Douglas S. Steinbrech, MD, FACS

Uyu murwere wemakore makumi mana nemakore ane chirwere chepamusoro chepamusoro pamusoro pemuromo wepamusoro uyo wakabviswa kuburikidza nekuvhiyiwa kwaMohs . Kugadziriswa kwakagadzirwa kuburikidza neT-pattern (inonziwo 'O kusvika kuT' 'yakaoma-kuvhara), zvinoreva kuti ganda rakaunzwa pamwe uye rakarongekazve pamusoro pezvitsvuku (vermillion muganhu) wemuromo kuitira kuti muromo pachawo ude kwete kukanganiswa kana kubatanidzwa.

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Pamberi & Pashure Peganda Kanzera Kuvandudzwa

Dr Steiger - Murwere # 1 Kuvhiyiwa kwekuvandudza kwakaitwa naJames D. Steiger, MD, weDelray Beach, FL. Mifananidzo © Jacob D. Steiger, MD

Kuvakwazve kwakagadziriswa kuburikidza nekuputika kweputi 'island' flap nzira (inozivikanwawo se'chivako pedicle flap ', iyo inenge yakasungirirwa inowanikwa kune nzvimbo yavanopa chete kuburikidza nemidziyo yayo yeropa).

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Pamberi & Pashure Peganda Kanzera Kuvandudzwa

Dr Steiger - Murwere # 2 Kuvhiyiwa kwekuvandudza kwakaitwa naJames D. Steiger, MD, weDelray Beach, FL. Mifananidzo © Jacob D. Steiger, MD

Kuvakwazve kwakagadzirwa kuburikidza nehuma yepamberi yekufambisa nzira .

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Pamberi & Pashure Peganda Kanzera Kuvandudzwa

Dr Steiger - Murwere # 3 Kuvhiyiwa kwekugadzirisa kunoitwa naJacob D. Steiger, MD, weDelray Beach, FL. Mifananidzo © Jacob D. Steiger, MD

Kugadziriswa kwakagadzirwa kuburikidza nemumwe munhu wepamuviri (chironga chinotorwa kubva muchikamu chechigamba chiri kutenderera kumusoro zvichibva kumusoro kwekona kechipfuva chepahuma) pamberi pehuni nzira.

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