Reconstrução nasal: análise de série de casos / Nasal reconstruction: an analysis of a series of cases
Rev. bras. cir. plást
;
31(3): 368-372, 2016. ilus
مقالة
ي الانجليزية, البرتغالية
| LILACS
| ID: biblio-2303
RESUMO
INTRODUÇÃO:
A reconstrução nasal é desafiadora devido à posição central e proeminente do nariz na face. Pequenos defeitos nessa região tornam-se óbvios. Análise retrospectiva das 146 cirurgias de reconstrução nasal nos Serviços Integrados de Cirurgia Plástica do Hospital Ipiranga - SICPHI, avaliando a incidência dos defeitos nasais, assim como as principais técnicas cirúrgicas realizadas de acordo com cada região nasal.MÉTODOS:
Estudo descritivo retrospectivo pela revisão de 109 prontuários e arquivos fotográficos, dos pacientes atendidos nos Serviços Integrados de Cirurgia Plástica do Hospital Ipiranga, em São Paulo, SP, no período compreendido entre janeiro de 2011 a junho de 2014.RESULTADOS:
Foram realizadas 146 cirurgias. A faixa etária média foi de 67 anos. Em relação ao tipo de tumores malignos encontrados, 104 (73%) eram carcinoma basocelular e três (2%) carcinoma espinocelular. As 36 (25%) lesões restantes eram de características benignas. As regiões nasais mais acometidas foram asa nasal, 55 (38%); dorso, 36 (25%); ponta, 26 (18%); lateral, 12 (8%); não especificada, sete (5%); comprometimento total do nariz, cinco (3%); e columela, dois (1%). Observou-se a preferência ao fechamento primário dos defeitos. No caso de impossibilidade do mesmo, realizaram-se retalhos locais, concordando com a literatura.CONCLUSÃO:
As subunidades estéticas nasais podem ser reconstruídas por uma variabilidade de técnicas cirúrgicas. O cirurgião deve buscar um adequado resultado estético e funcional.ABSTRACT
INTRODUCTION:
Nasal reconstruction is challenging because of the central position and role of the nose in the face. Minor defects in this region become obvious. A retrospective analysis of 146 nasal reconstruction surgeries in the Integrated Plastic Surgery Services of the Ipiranga Hospital (SICP-HI) was performed, evaluating the incidence of nasal defects, as well as the main surgical techniques performed in accordance with each nasal region.METHODS:
A retrospective descriptive study through a review of 109 medical records and photograph archives of patients treated in SICP-HI, São Paulo, SP, from January 2011 to June 2014.RESULTS:
A total of 146 surgeries were performed. The mean patient age was 67 years. Regarding the type of malignant tumors found, 104 (73%) were basal cell carcinoma and 3 (2%) were squamous cell carcinoma. The remaining 36 (25%) lesions were benign. The most affected nasal regions were as follows nasal wing, 55 (38%); the dorsum, 36 (25%); tip, 26 (18%); sidewalls, 12 (8%); unspecified, 7 (5%); total involvement of the nose, 5 (3%); and the columella, 2 (1%). There was a preference for primary closure of the defect. However, if this was infeasible, local flaps were used, in agreement with the literature.CONCLUSION:
The nasal aesthetic subunits can be reconstructed using a variety of surgical techniques. The surgeon should seek an appropriate aesthetic and functional outcome.
النص الكامل:
متاح
الفهرس:
LILACS الأمريكتان
الموضوع الرئيسي:
Skin Neoplasms
/
Surgical Flaps
/
Wounds and Injuries
/
Carcinoma, Basal Cell
/
Carcinoma, Squamous Cell
/
Nose
/
Nose Deformities, Acquired
/
Medical Records
/
Epidemiology, Descriptive
/
Retrospective Studies
نوع الدراسة:
دراسات التقييم
/
دراسة مبنية على المشاهدة
/
عوامل الخطر
المحددات:
راشد/بالغ
/
كبير في السن
/
Aged80
/
أنثى
/
البشر
/
ذكر
اللغة:
الانجليزية
/
البرتغالية
مجلة:
Rev. bras. cir. plást
موضوع المجلة:
سيرجيا جيرال
السنة:
2016
نوع:
مقالة
بلد الانتماء:
المؤسسة/الدولة:
Hospital Ipiranga/BR
المراجع ذات الصلة
MEDLINE
...
LILACS
LIS