口腔颌面外科学0103（Oral and maxillofacial surgery 0103）.docVIP

口腔颌面外科学0103（Oral and maxillofacial surgery 0103） Five, suture The suture is separated from tissue or surgical excision of the lesion tissue remaining after the re alignment, in order to achieve the purpose of promoting wound healing. (a) and the basic requirements of the principle of suture Based on the 1. principles of hemostasis, from deep and shallow layers were sutured tightly and correct, in order to achieve the purpose of healing. 2. basic requirements (1) on both sides of the notch to good contact, both sides should be equal, including tissue suture symmetry, avoid dead spaces, otherwise there will be blood or fluid, will not only delay the healing process, but also easily lead to infection. (2) shall be carried out in the suture without tension or minimum tension, so as to avoid the postoperative dehiscence and the scar is too thick. According to the operation situation of nature, location and operation to determine the appropriate needle spacing and margins, which requires more plastic surgery. (3) the order should be the first free side suture, after fixed side, opposite to the easily torn tissue. (4) suture facial and neck skin, removing wrinkles can be cut along the sag, the depth of the same involution suture scars and wrinkles, both to prevent a margin of involution and excessive valgus, so as not to cause infection after healing scar. (5) skin suture needle points from the wound edge distance (margin) and interval density (suture needle gauge) with a margin of contact and joint without fracture principle, the specific requirements for the operation character and position are different. General surgery with suture margins of 2 ~ 3mm, the needle distance is 3 ~ 5mm, neck surgical suture margins 3mm needle spacing should be 5mm, and the organization is extremely easy to tear tongue tissue suture, margins and needle distance should be increased to more than 5mm. (6) between the suture organization does not with other organizations, so as not to affect the