Ukwakhiwa kabusha Emva kweKhansela Yesikhumba

Ukuhlinzekwa kabusha kwePlastiki yePlastiki ngaphambi nangemva kwezithombe

Emva kokuhlinzwa ukukhipha umdlavuza wesikhumba , ungase ube nokukhathazeka okuningi, okunye okungenzeka ukuthi uzobukeka kanjani. Lokhu kuyiqiniso ikakhulu uma ukuhlinzwa kwenziwa endaweni evelele futhi ebalulekile njengobuso bakho.

1 -

Ngaphambi & Emva Kokuvuselelwa Kwekhanda Lesikhumba
UDkt Jacono - Isiguli # 1 Ukuhlinzekwa kabusha kwendlela yokuhlinzekwa eyenziwe yi-New York ebhodini lokubukeka elibukhali elisebukhosini kanye nodokotela ohlinzayo odokotela, u-Andrew Jacono, MD, FACS. Izithombe © Andrew Jacono, MD, FACS

Ukuhlinzekwa kabusha kwepulasitiki ngemuva komdlavuza wesikhumba kuyindlela ephuthumayo futhi ekhethekile yokuhlinzeka, futhi kubalulekile ukubuza imibuzo eminingi futhi uqaphele ukuthi udokotela wakho uthini mayelana nezinketho zakho.

Udokotela wakho wezinambuzane noma ohlinzayo we-Mohs (noma ngubani owenze ukukhwabaniswa komdlavuza wakho wesikhumba) angakwazi ukuqedela ukuvuselelwa kwakho ngenkathi isilonda sakho sisusiwe, noma angakutshela kudokotela ohlinzayo we-plastic ukuze uhlinzekwe kabusha.

Legalari iqukethe izithombe ezingaphambi nangemva ezingase zibonise futhi / noma zingaxhunyiwe. Lezi zithombe zithathwe ngemuva kokuhlinza kwe-Mohs ukususa izilonda zomdlavuza ebusweni. Lezi zithombe zibonisa imiphumela ngemuva kokuhlinzwa okuvuselela ukulungisa iziphambeko ezishiywe ngemva kokuba umdlavuza ususwe.

Kubonwe ngenhla: Ukwakhiwa kabusha kwe-Cheek ne-Eyelid Defect. Isiguli sinezintambo zokuguqula intanyeni, nenqubo yokuphambana kwesikhumba kanye nehlathini ukuvala le nsalela enkulu.

2 -

Ngaphambi & Emva Kokuvuselelwa Kwekhanda Lesikhumba
UDkt Jacono - Isiguli # 2 Ukuhlinzekwa kabusha kokwenziwa kabusha kwebhodi laseNew York ebhodini elibonakalayo eliqinisekisiwe kanye nodokotela ohlinzayo, Andrew Jacono, MD, FACS. Izithombe © Andrew Jacono, MD, FACS

Ukwakhiwa kabusha Kwamaphutha Okuphezulu. Isiguli sinezikhala zombili zomhlaba, ukuboleka isikhumba somhlathi ukuvuselela i-lip engenhla. Funda kabanzi mayelana nokuhlinzwa kwe-flap .

3 -

Ngaphambi & Emva Kokuvuselelwa Kwekhanda Lesikhumba
UDkt Jacono - Isiguli # 3 Ukuhlinzekwa kabusha kwesikhungo esenziwe ngeNew York ebhodini lokubukeka eliqinisekisiwe kanye nodokotela ohlinzayo, Andrew Jacono, MD, FACS. Izithombe © Andrew Jacono, MD, FACS

Ukwakhiwa kabusha kweDisal Defect ne-Multiple Staged Repair. Lesi siphambeko sidinga ukuhlinzekwa kwezigaba ezimbili usebenzisa i-pedicled (ehlala enamathiselwe kumsizi womhlinzeki) osesidlangalaleni (kusuka ngenhla engxenyeni engaphakathi ye-brow) i-front flap. Isigaba sesibili sasihilela ukuhlukanisa (ukuhlukanisa) okunamathiselwe kwe-flap.

4 -

Ngaphambi & Emva Kokuvuselelwa Kwekhanda Lesikhumba
UDkt DeLuca - Isiguli # 1 Ukuhlinzekwa kabusha kokwenziwa kabusha kukaLouis DeLuca, MD, FACS, waseBoca Raton, FL. Izithombe © Louis DeLuca, MD, FACS

Lo wesifazane oneminyaka engu-76 ubudala ube nenkinga enkulu ehilela umlomo wakhe ophansi ngemuva kokususwa kwe- squamous cell carcinoma . Inqubo yokuqhuma kwentuthuko yenzalo yenziwa. Isithombe esilandelayo sikhombisa umphumela omuhle kakhulu wokuvuselelwa kabusha komlomo we-lip ophansi kanye nokuvinjelwa okuncane emlonyeni wakhe.

5 -

Ngaphambi & Emva Kokuvuselelwa Kwekhanda Lesikhumba
UDkt DeLuca - Isiguli # 2 Ukuhlinzekwa kabusha kokwenziwa kabusha kukaLouis DeLuca, MD, FACS, waseBoca Raton, FL. Izithombe © Louis DeLuca, MD, FACS

Lo wesifazane oneminyaka engu-52 ubudala wayenekhanda le- squamous cell carcinoma elisuswe ngakwesokudla kwesicu sakhe semisipha. Inqubo ye-bilobed flap yenziwa. Isithombe esilandelayo sibonisa umphumela wesiguli izinyanga eziyisithupha ngemuva kokuhlinzwa ngaphandle kokuphazamiseka kwesisu sakhe semisipha.

6 -

Ngaphambi & Emva Kokuvuselelwa Kwekhanda Lesikhumba
UDkt DeLuca - Isiguli # 3 Ukuhlinzekwa kabusha kokwenziwa kabusha kukaLouis DeLuca, MD, FACS, waseBoca Raton, FL. Izithombe © Louis DeLuca, MD, FACS

Lo wesifazane oneminyaka engu-67 ubudala wayene- squamous cell carcinoma esuswe eseceleni lakhe elingenhla. Inqubo ye-bilobed flap yenziwa. Lezi zithombe zilandelayo zibonisa isiguli ngokushesha ngemuva kokuhlinzwa futhi emva kwezinyanga eziyisithupha emva kokusebenza ngaphandle kokuphazamiseka kwesisu sakhe semisipha.

7 -

Ngaphambi & Emva Kokuvuselelwa Kwekhanda Lesikhumba
UDkt Steinbrech - Isiguli # 1 Ukuhlinzekwa kabusha kokwenziwa kabusha kukaDouglas S. Steinbrech, MD, FACS, waseNew York, NY. Izithombe © Douglas S. Steinbrech, MD, FACS

Isiguli sasinesifo somdlavuza we-basal cell emakhaleni akhe asuswa ngokuhlinzwa kukaMos . Ukwakhiwa kabusha kwakutholakala ngokusebenzisa inqubo ye-flap ye- rotation yendawo yokujikeleza yendawo, okusho ukuthi isikhumba sasihlanganiswa futhi sihlelwa kabusha emakhaleni besebenzisa i-flap e-lobed amabili. Ngaleyo ndlela umjikelezo wekhaleni ngokwawo ngeke uphazanyiswe noma ukungaqondakali ngokungahleliwe.

8 -

Ngaphambi & Emva Kokuvuselelwa Kwekhanda Lesikhumba
UDkt Steinbrech - Isiguli # 2 Ukuhlinzekwa kabusha kokwenziwa kabusha kukaDouglas S. Steinbrech, MD, FACS, waseNew York, NY. Izithombe © Douglas S. Steinbrech, MD, FACS

Isiguli sasinesifo somdlavuza wesinxephezelo esisekhanda lakhe esasuswa ngokuhlinzwa kukaMos . Ukwakhiwa kabusha kwafezwa ngokusebenzisa inqubo yokuqhubela phambili yendawo. Isikhumba sahlanganiswa futhi sahlelwa kabusha ngaphezu kwesikrini ngendlela ekhethekile ukuze i-brow ngokwazo ingaphazanyiswa noma ingabonakali kalula. Isithombe se-post-op sithathwe ezinsukwini eziyisikhombisa, ezinyathelweni zakuqala zokuphulukisa. Ubuchopho buzophela kakhulu ngokuhamba kwesikhathi.

9 -

Ngaphambi & Emva Kokuvuselelwa Kwekhanda Lesikhumba
UDkt. Steinbrech - Isiguli # 3 Ukuhlinzekwa kabusha kokwenziwa kabusha kukaDouglas S. Steinbrech, MD, FACS, waseNew York, NY. Izithombe © Douglas S. Steinbrech, MD, FACS

Isiguli esineminyaka engu-28 ubudala sasinomdlavuza wesikhumba esiphezulu ngaphezu komlomo wakhe ophezulu owasuswa ngokuhlinzwa kukaMos . Ukwakhiwa kabusha kwafezwa ngokusebenzisa i-T-pattern (ebizwa nangokuthi 'O kuya ku-T flap') okuyi-complex-closure, okusho ukuthi isikhumba sasihlanganiswa futhi sihlelwe kabusha ngaphezu kombala obomvu (vermillion) we-lip ukuze lip ngokwalo ungaphazanyiswa noma ubanjwe.

10 -

Ngaphambi & Emva Kokuvuselelwa Kwekhanda Lesikhumba
UDkt Steiger - Isiguli # 1 Ukuhlinzekwa kabusha kokuvuselelwa okwenziwa nguJacob D. Steiger, MD, waseDelray Beach, FL. Izithombe © Jacob D. Steiger, MD

Ukwakhiwa kabusha kwafezwa ngokusebenzisa inqubo yokuqhuma kwentombazane 'yentuthuko' yezindiza (eyaziwa nangokuthi 'isiqhingi se-pedicle flap', lapho i-flap ihlala ifakwe kwisayithi lomnikelo kuphela ngemithambo yegazi).

11 -

Ngaphambi & Emva Kokuvuselelwa Kwekhanda Lesikhumba
UDkt Steiger - Isiguli # 2 Ukuhlinzekwa kabusha kokuvuselelwa okwenziwa nguJacob D. Steiger, MD, waseDelray Beach, FL. Izithombe © Jacob D. Steiger, MD

Ukwakhiwa kabusha kwafezwa ngokusebenzisa inqubo yepopu yokuqhuma phambili.

12 -

Ngaphambi & Emva Kokuvuselelwa Kwekhanda Lesikhumba
UDkt Steiger - Isiguli # 3 Ukuhlinzekwa kabusha kokuvuselelwa okwenziwa nguJacob D. Steiger, MD, waseDelray Beach, FL. Izithombe © Jacob D. Steiger, MD

Ukwakhiwa kabusha kwafezwa ngokusebenzisa isazi sezifo eziphuthumayo (i-flap isuswa esigabeni sesishubhu eseza phezulu phezulu ukusuka ngaphezu kwekhoneni langaphakathi le brow).