医学美容理念及技术在口腔颌面肿瘤外科应用新进展.docVIP

医学美容理念及技术在口腔颌面肿瘤外科应用新进展 　　[摘要]医学美容理念及其技术在口腔颌面肿瘤外科的应用情况是伴随着学科技术的发展而不断更新的。患者对容貌的关注是促进肿瘤外科中美容技术应用的重要因素；数字化技术引导下的精确修复重建手段，为肿瘤切除后面部容貌的美容修复建立了基础；肿瘤放疗、肿瘤内照射技术的进步，使得因肿瘤切除面神经的比例大大降低，维护了患者的容貌；硬化治??成为脉管疾病治疗的重要技术手段，避免了手术切除对面部的损毁；新缝线的出现改变了肿瘤术后切口缝合的理念及技术，肿瘤切口亦可以获得美容缝合；闭式引流新器械、伤口包扎新型敷料的使用，改进了肿瘤手术伤口处理的技术，取得了较好的美容效果；医学美容技术推动了口腔颌面肿瘤外科学科的发展。 　　[关键词]口腔；颌面；肿瘤；美容外科 　　[中图分类号]R739.8 [文献标志码]A [文章编号]1008-6455（2017）09-0119-03 　　New Applications of Aesthetic Medical Concept and Technique in Oral and Maxillofacial Tumors Surgery 　　ZHANG Pu 　　（The State Key Laboratory of Military Stomatology National Clinical Research Center for Oral Diseases，Shaanxi Clinical Research Center for Oral Diseases，Department of Oral Maxillofacial Surgery， School of Stomatology，The Air Force Military Medical University，Xi an 710032，Shaanxi，China） 　　Abstract： The application of aesthetic medical concept and technique in oral and maxillofacial tumors surgery has progressed constantly. That patients concerned about the appearance after facial tumor resected is an important factor to improve aesthetic technique in oncologic surgery. Digital technology has guided the precise reconstruction for tumor defects，so cosmetic facial repairment can be obtained.Tumor radiotherapy and 125 I seed implantation for the treatment of oral maxillofacial malignant tumor could greatly reduced facial deformities due to facial nerve remove by tumor resection， to maintain the patients appearance. Sclerotherapy for vascular malformation could avoid the surgical removal of facial nerve.New suture changed the ideas and technique which can make the incision healing best and the scar smallest. New equipment for wound closed drainage and the new type dressing improved the wound treatments after tumor resected ， good cosmetic effects can be obtained. So， medical anesthetic technique has promoted the developments of oral and maxillofacial tumors surgery. 　　Key words： oral； maxillofacial； tumor； aesthetic surgery 　　随着社会发展和人们经济水平的提高，越来越多的肿瘤患者对