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クレフト・パレット・リペア 術後の合併症 ブキナーター・ミオムコザル・フラップ
Percy Rossell-Perry1,2, Carolina Romero-Narvaez3
1Health of Science Faculty, School of Human Medicine, Peruvian University Union (UpeU), Lima, Peru.
The Journal of craniofacial surgery
|September 2, 2025
まとめ
ブシナーター筋膜は口腔裂けの修復に適した選択肢ですが,口腔裂けの衰えや死滅などの合併症は一般的で,慎重に予防策をとる必要があります.
科学分野:
- 整形 術
- 頭蓋骨外科
- 耳鼻喉科
背景:
- ブシナーター筋膜のフラップは,二次的な口腔裂けの変形のためにますます使用されています.
- このテクニックの術後の合併症を記録した研究は少ない.
- この研究は,ブシナー・フラップに関連した一連の合併症を提示しています.
研究 の 目的:
- 裂け口の修復におけるブキナーターフラップの外科的合併症を記述する.
- 術後の合併症の発生率を評価する.
主な方法:
- 2017年から2024年にブキナーター・フラップ手術を受けた42人の患者の遡及的結果研究.
- 患者には最初の口腔裂けの修復後の続発があり,フィスチュラ,フラップネクロス,またはベロファリンゲの不全があった.
- 2024年11月までの術後の合併症に関する文献レビュー
主要な成果:
- 最も頻繁に治療された後遺症は,ベロファリンゲ不全 (50%), palatal fistula (26. 19%),および粘膜骨性ネクロス (23. 8%) でした.
- 術後の合併症には,フラップの消亡 (30. 95%) と部分的なフラップの死滅 (19. 04%) が含まれていた.
結論:
- ブックシネーター・フラップは,口腔裂けを復元するための有用な代替手段です.
- ブシナー・フラップに伴う潜在的な合併症は珍しいことではなく,予防的措置が必要である.
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