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큰 양성 피부 병변을 갖고 있는 환자에게 톱니바퀴형 연속적 절제술과 방추형 연속적 절제술 방법의 비교
- Author(s)
- 최경범
- Advisor
- 박동하
- Department
- 일반대학원 의학과
- Publisher
- The Graduate School, Ajou University
- Publication Year
- 2017-02
- Language
- eng
- Keyword
- big benign skin lesion; serial excision
- Alternative Abstract
- Serial excision is the most simple and aesthetically suitable method for large congenital melanocytic nevus. However, a dumbbell shape nevus commonly remains after serial excision. The cogwheel pattern setial excision that contains Z-plasty was introduced in 2014. We mathematically calculated the cogwheel pattern serial excision, and compared with previous elliptical pattern excision. 10 patients who received one traditional serial excision and 11 patients who received cogwheel pattern serial excision before complete excision were selected. We evaluated age, area, scar length, area per scar ratio, normal tissue resection, dog ear deformity, and patient satisfaction. The long axis per short axis length was 1:2 in both groups. Normal tissue resection and dog ear deformity were statistically lower in the cogwheel pattern group. Area per scar ratio was lower and satisfaction was higher in the cogwheel pattern group, but the differences were not statistically significant Cogwheel pattern serial excision makes the congenital melanocytic nevus more suitable for total excision.
- Fulltext
- Appears in Collections:
- Graduate School of Ajou University > Department of Medicine > 3. Theses(Master)
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