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手术实操|耳部缺损的皮瓣修复

 创骨英文 2022-05-20 发布于广东

视频链接:(复制下方链接然后搜索即可查看)

https://www.dxy.cn/bbs/newweb/pc/post/46546583

机器翻译字幕,仅供参考:

[Music] here we have a 63 year old gentleman

[音乐]在这里,我们有一位 63 岁的先生

with a basal cell carcinoma of his left mid helical rim

,他的左中螺旋边缘有基底细胞癌,

today under local anesthetic we will excise the tumor

今天在局部麻醉下,我们将切除肿瘤

and repair the defect with a helical advancement flap

并用螺旋推进

the tumor and underlying cartilage are excised

皮瓣修复缺损 切除肿瘤和底层软骨

the advancement flap is then created using scissors

推进皮瓣 然后使用剪刀创建

[Music] firstly the skin is in sized and then

[音乐]首先调整皮肤的大小,然后

scissors are used to create a full thickness incision

使用剪刀在螺旋边缘创建一个全厚度切口

in the helical rim

[Music] a full thickness burrows triangle is now

[音乐]现在从皮瓣底部切除一个全厚度的洞穴三角形

excised from the base of the flap

[Music] here we can see the completed full

[音乐]这里 我们可以看到完整的全

thickness flap [Music]

厚皮瓣[音乐]

the tip of the flap is trimmed [Music]

皮瓣的尖端被修剪[音乐] 使用

two pexing sutures are used to pull the flap into position

两条 pexing 缝合线将皮瓣拉到位

[Music] the edges may now be sutured using a

[音乐] 现在可以使用

fiber surgical rapid continuous suture

纤维外科快速连续缝合线缝合边缘

[Music]

[音乐]  ]

due to the concavity of the area the sutures are changed to a horizontal

由于该区域的凹度,缝合线改为水平

mattress suture which will increase edge version

床垫缝合线,这将增加边缘

the ear is now sutured anteriorly to the cheek

版本,耳朵现在缝合到脸颊前部,

exposing the posterior surface allowing this to be sutured

露出后部 rface允许缝合

[Music] the posterior surface of the ear is

[音乐]

sutured with a continuous fibrosurgical rapid suture

用连续的纤维外科快速缝合线缝合耳朵的后表面

[Music] the wound has come together well and the

[音乐] 伤口已经很好地融合在一起,

sutures will dissolve with their own accord

缝合线会

over the coming two to three weeks the wound will be checked in seven to ten

在接下来的两到三周内自行溶解伤口 将在七到十天内检查

days thank you very much for watching and

非常感谢您的观看,

please feel free to leave a comment

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