ALTレスキューフラップは,下骨の骨移植と下骨のORNのためのスパンティングプレートとイリアック・クライスト・ボーン・グラフトを備えています
Derek J Vos1,2, Sara W Liu2, Peter J Ciolek2
1Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
The Laryngoscope
|February 14, 2026
まとめ
この研究では,前側大腿 (ALT) の救助フラップを使用して,下腹骨移植 (ICBG) と下骨動脈縮症 (ORN) のスパンティングプレートを使用しています. このアプローチは,伝統的なフリーフラップの代替品として有望であり,選択された患者にとって良い結果と短い入院期間を提供します.
科学分野:
- 口腔および面外科手術
- リコンストラクティブな外科手術です.
- 腫瘍学 腫瘍学
背景:
- 放射線治療後の下骨放射性死滅症 (ORN) は,しばしば複雑な手術による再建を必要とします.
- 標準的な治療は,セグメンタル・マンディブレクトミーと,骨皮性フリーフラップ再建である.
- 患者のアウトカムを改善し,罹患率を減らすために,代替的な再建技術が求められます.
研究 の 目的:
- 大腿前側側 (ALT) 救助フラップと下腹骨頂骨移植 (ICBG) と,全厚下 ORNのための横断再構築プレートとの組み合わせの使用,徴候,結果について説明します.
- このテクニックを,伝統的なフリーフラップ再構築の潜在的な代替手段として評価する.
主な方法:
- 2017年1月1日から2025年10月1日までの間に治療を受けた患者の遡及的チャートレビュー.
- 含有基準は,前述の技術を用いて,全太さの下 ORN の再建を施されている患者に焦点を当てました.
主要な成果:
- 8人の患者 (平均年齢67,男性87.5%) を分析した.
- 6人の患者は手術前の骨折を患い,2人は脱皮後の全厚さの破壊を患った.
- フレップの故障は発生せず,75%が症状の停止とフォローアップ時に骨の結合を達成しました.
- 平均的な入院期間は3日,平均的な追跡期間は25ヶ月を超えました.
結論:
- ALTレスキューフラップ,ICBG,スパンパン・プレートの組み合わせは,全太さの下 ORNを持つ一部の患者にとって,有効な選択肢です.
- このテクニックにより,低罹病率と短縮された入院期間が実証されました.
- さらなる研究は,より大きな患者コホートでこのアプローチを検証することができます.
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