Ukwakhiwa kwakhona emva kweCarcer Skin

by Natalie Kita

Ukuvuselelwa kwePlastiki yePlastiki ngaphambi nangemva kweefoto

Emva kokuhlinzwa ukuba ususe umdlavuza wesikhumba , unokuba noxhalabisayo oluninzi, mhlawumbi olunye luya kuba lukhangeleka njani. Oku kuyinyani ngokukodwa ukuba utyando lwenziwe kwindawo evelele kwaye ebalulekileyo njengobuso bakho.

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Ngaphambi & Emva Kokuvuselelwa Kwemhlaza Yesikhumba

UDkt Jacono - Umonde # 1 Utyando olwenziwa ngokutsha olwenziwa yibhodi yaseNew York ebonisiweyo yobungcali kunye nodokotela ohlinzayo, u-Andrew Jacono, MD, i-FACS. Iifoto © Andrew Jacono, MD, FACS

Ukuhlinzwa ngokutsha kweplastiki emva kokuba umdlavuza wesikhumba luhlobo oluthile kwaye lukhethekileyo lotyando, kwaye kubalulekile ukubuza imibuzo emininzi kwaye ubeke ingqalelo kwinto ugqirha wakho athethe ngayo malunga nokukhetha kwakho.

Udokotela wakho wesigqirha okanye ogqirha we-Mohs (nabani na owenzele umhlaza wakho wesikhumba) unokukwazi ukugqiba ukuhlaziywa kwakhona ngexesha lakho lesilonda lisuswe, okanye unokukuthumela kwi-surgeon yeplastiki ukwenzela ukuhlinzwa ngokutsha.

Le galari iqule ngaphambi nangemva kweefoto ezingabonakalisa imifanekiso kunye / okanye ukucwangcisa. Ngaphambi kokuba imifanekiso ithathwe emva kokuhlinzwa kuka-Mohs ukususa izilonda zomhlaza ebusweni. Emva kokuba imifanekiso ibonise iziphumo emva kokuhlinzwa ngokutsha ukulungisa iziphoso ezishiywe emva kokuba umhlaza ususwe.

Ubonwe ngasentla: Ihlathi kunye ne-Eyelid Defect Reconstruction. Isigulane sineentsimbi zokuguqula intamo, kunye nenkqubo yokujikeleza ihlathi kunye nehlama ukuvala le nkunkuma enkulu.

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Ngaphambi & Emva Kokuvuselelwa Kwemhlaza Yesikhumba

UDkt Jacono - Umonde # 2 Utyando olwenziwa ngokutsha olwenziwa yibhodi yaseNew York ebonisiweyo yobungcali kunye nodokotela ohlinzayo, u-Andrew Jacono, MD, FACS. Iifoto © Andrew Jacono, MD, FACS

Ulungelelaniso olusenyakatho lwePil. Isigulane saguqulelwa ngokubambisana, ukuboleka isikhumba esikhwameni sokuvuselela umlomo ophezulu. Funda kabanzi malunga nokuhlinzwa kwe-flap .

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Ngaphambi & Emva Kokuvuselelwa Kwemhlaza Yesikhumba

UDkt Jacono - Umonde # 3 Utyando olwenziwa ngokutsha olwenziwa yibhodi yaseNew York ebonisiweyo yobunjineli kunye nodokotela ohlinzayo, u-Andrew Jacono, MD, i-FACS. Iifoto © Andrew Jacono, MD, FACS

Ukuhlaziywa koMgangatho oKhethekileyo kunye nokuCwangciswa kweState Multiple. Esi siphene sifune ukutyunjwa okubini kusetyenziswe i-pedicled (ihlala iqhotyoshelweyo kwisayithi lomnikeli) i-parameter (ukusuka phezulu kwekona langaphakathi le brow). Isigaba sesibini sichaphazela ukwahlula (ukwahlula) isinamathiselo sokubhenqa.

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Ngaphambi & Emva Kokuvuselelwa Kwemhlaza Yesikhumba

UDkt DeLuca - Umonde # 1 Utyando olwenziwa ngokutsha olwenziwa nguLouis DeLuca, MD, FACS, waseBoca Raton, FL. Iifoto © Louis DeLuca, MD, FACS

Lo wesifazane oneminyaka engama-76 ubudala wayenephulo elikhulu elibandakanya umlomo wakhe ophantsi emva kokususwa kwe- squamous cell carcinoma . Inkqubo yokuqhubela phambili yomlomo yenziwa ngomlomo. Emva kwesithomboniso kubonisa umphumo obalaseleyo wokwakhiwa kabusha komlomo ophantsi kunye nomngcipheko omncinci kumlomo wakhe.

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Ngaphambi & Emva Kokuvuselelwa Kwemhlaza Yesikhumba

UDkt DeLuca - Umonde # 2 Utyando olwenziwa ngokutsha olwenziwa nguLouis DeLuca, MD, FACS, waseBoca Raton, FL. Iifoto © Louis DeLuca, MD, FACS

Owesifazane oneminyaka engama-52 ubudala wayenokwakheka kwe -cell squamous cell carcinoma ukusuka kwicala lasekunene lentonga yakhe yomlomo. Inkqubo ye-bilobed flap yenziwe. Emva kwesithomboniso kubonisa ukuba iziphumo zesigulane zinyanga ezintandathu emva kokuhlinzwa ngaphandle kokuphazamiseka kwesimo sakhe somzimba esiswini.

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Ngaphambi & Emva Kokuvuselelwa Kwemhlaza Yesikhumba

UDkt DeLuca - Umonde # 3 Utyando olwenziwa ngokutsha olwenziwa nguLouis DeLuca, MD, FACS, waseBoca Raton, FL. Iifoto © Louis DeLuca, MD, FACS

Lo wesifazane oneminyaka engama-67 ubudala wayenomdla we- squamous cell carcinoma esuswe kwisigxina sawo sangasentla. Inkqubo ye-bilobed flap yenziwe. Emva kweefoto kubonisa isigulane ngokukhawuleza emva kokuhlinzwa kwaye emva kweenyanga ezintandathu emva kokusebenza ngaphandle kokuphazamiseka kwesimo sakhe somzimba esiswini.

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Ngaphambi & Emva Kokuvuselelwa Kwemhlaza Yesikhumba

UGqirha Steinbrech - Umonde # 1 Utyando olusisiseko olwenziwa nguDouglas S. Steinbrech, MD, FACS, eNew York, NY. Iifoto © Douglas S. Steinbrech, MD, FACS

Isigulane sasinomdlavuza wesalence wesalathini kwimpumlo eyayisuswe ngokuhlinzwa kukaMhs . Ukulungiswa kwakhona kwafezekiswa ngokusetyenziswa kwendawo yokujikeleza kwendawo yokujikeleza kwendawo, oku kuthetha ukuba ulusu lwahlanganiswa kwaye luhlelwe kwakhona kwimpumlo ngokusebenzisa i-flap-lobed. Ngaloo ndlela umgca wempumlo ngokwawo awuyi kuphazanyiswa okanye ungaphambuki ngokungaqhelekanga.

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Ngaphambi & Emva Kokuvuselelwa Kwemhlaza Yesikhumba

UDkt Steinbrech - Umonde # 2 Utyando olwenziwa ngokutsha olwenziwa nguDouglas S. Steinbrech, MD, FACS, waseNew York, NY. Iifoto © Douglas S. Steinbrech, MD, FACS

Isigulane sasinomdlavuza wesangqa ebunzini lakhe esasuswe ngokuhlinzwa kukaMhs . Ukulungiswa kwakhona kwafezekiswa ngokusebenzisa inkqubo yokuqhubela phambili kwendawo. Ulusu lwahlanganiswa kwaye luhlelwe kwakhona ngaphaya kwiphandle ngendlela ekhethekileyo ukwenzela ukuba i-brow ngokwayo ingaphazanyiswa okanye ingabonakaliswa ngokungaqhelekanga. Ifoto ye-post-op ithathwe kwiintsuku ezisixhenxe, kwiinqanaba zokuqala zokuphilisa. Ubomvu buya kutshabalalisa ngokukhawuleza ixesha.

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Ngaphambi & Emva Kokuvuselelwa Kwemhlaza Yesikhumba

UDkt Steinbrech - Umonde # 3 Utyando olwakhiwayo nguDouglas S. Steinbrech, MD, FACS, waseNew York, NY. Iifoto © Douglas S. Steinbrech, MD, FACS

Isigulane esineminyaka engama-28 ubudala sasinesifo somdlavuza weselfu ngaphezu komlomo wakhe ophezulu owasuswa ngokuhlinzwa kukaMohs . Ukuhlaziywa kwakhona kwafezekiswa ngokusebenzisa i-T-pattern (ebizwa ngokuba yi-'O to T flap ') -kuvalwa-ukuvalwa, oku kuthetha ukuba ulusu luhlanganisiwe kwaye luhlelwe kwakhona ngaphaya komvu (umlomo we-vermillion) womlomo ukuze umlomo ngokwawo uza ungaphazanyiswa okanye udibaniswe.

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Ngaphambi & Emva Kokuvuselelwa Kwemhlaza Yesikhumba

UGqirha Steiger - Umonde # 1 Utyando olwakhiwa nguJacob D. Steiger, MD, weDelray Beach, FL. Iifoto © Jacob D. Steiger, MD

Ukuhlaziywa kwakhona kwafezekiswa ngokusebenzisa inkqubo yentuthuko ye-lip 'island' flap (eyaziwa nangokuthi 'isiqithi se-pedicle flap', apho i-flap ihlala ifakwe kwisiza somnikeli kuphela ngeemithwalo yegazi).

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Ngaphambi & Emva Kokuvuselelwa Kwemhlaza Yesikhumba

UGqirha Steiger - Umonde # 2 Utyando olwakhiwa nguJacob D. Steiger, MD, waseDelray Beach, FL. Iifoto © Jacob D. Steiger, MD

Ukulungiswa kwakhona kwafezekiswa ngokusebenzisa inkqubo yepopu yokuqhubela phambili.

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Ngaphambi & Emva Kokuvuselelwa Kwemhlaza Yesikhumba

UDkt Steiger - Umonde # 3 Utyando olwenziwe uphuhliso olwenziwa nguJacob D. Steiger, MD, waseDelray Beach, FL. Iifoto © Jacob D. Steiger, MD

Ukulungiswa kwakhona kwafezekiswa ngokusebenzisa i- paramedian (i-flap ithathwa kwinqanaba leethambo eziya phezulu ngokusuka phezulu ngaphaya kwekona langaphakathi lephambili) inkqubo yepaule yephambili.

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