Jaw-in-a-Day:プロセス改善と成果について
Cristina Benites1, Christian E Davila2, Dustin J Conrad1
1Department of Otolaryngology - Head & Neck Surgery, University of Florida College of Medicine, Gainesville, Florida, USA.
まとめ
Jaw-in-a-Day再構築は,高フラップとインプラントの生存を達成し,の欠陥に対する実現可能なアプローチを提供します. 2人の外科医によるワークフローにより,作業効率が著しく向上します.
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:
- の再建は複雑で,機能的および腫瘍学的修復を必要とする.
- Jaw-in-a-Dayのアプローチは,このプロセスを合理化することを目的としています.
- 医療機関での経験の評価は,外科モデルの改良に不可欠です.
研究 の 目的:
- Jaw-in-a-Dayの再構築に関する制度的経験について説明する.
- 機能的,腫瘍学的,外科的結果を評価する.
- 良性および悪性症例のための効率的で再現可能なモデルを評価する.
主な方法:
- Jaw-in-a-Day再建 (2023年1月〜2024年1月) を受けている33人の患者の遡及的症例シリーズ.
- 足骨または肩骨のフリーフラップの再建を含む,即座の歯科インプラントと暫定義肢.
- プロテスの捕獲方法とチーム構成 (単一の対2人の外科医) に基づく結果の比較.
主要な成果:
- 33人の患者 (20人の悪性,13人の良性/外傷) が再建を受け,すべてのフラップが生き残った.
- インプラントの生存率は97%でした.
- 2人の外科医によるアプローチにより,手術時間は4時間24分,義歯の時間は2時間大幅に短縮されました.
結論:
- Jaw-in-a-Dayは,良性および悪性の再建のための実現可能なアプローチです.
- 高いフラップとインプラントの生存率が観察されました.
- プロセスの精錬,特に2人の外科医のワークフローは,効率を高めます.
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