在用支柱状自由进行下巴重建后,血管支柱骨化
Shengwei Han1, Xinwei Zhang, Guowen Sun
1Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing, China.
The Journal of craniofacial surgery
|June 9, 2023
概括
血管踏骨骨化是使用自由支柱状片进行下重建后的一种罕见并发症. 保存骨周可能会防止这种情况发生,而手术干预只需要症状病例.
科学领域:
- 口腔和牙面部外科手术
- 再生医学是一种再生医学.
- 生物材料科学 生物材料科学
背景情况:
- 自由长片的重建是大缺陷的常见方法.
- 血管足骨的骨化是一种不常见但潜在的衰弱并发症.
- 了解导致这种骨化因素对于改善手术结果至关重要.
研究的目的:
- 为了评估血管脚骨化在自由状片下巴重建中的后果.
- 介绍这种并发症的外科治疗和结果的临床经验.
- 提出基于临床观察的预防策略.
主要方法:
- 用自由长片进行下重建的患者的回顾性分析 (2017年1月至2021年12月).
- 纳入标准:在随访期间至少进行一次计算机断层扫描 (CT).
- 详细审查观察到血管脚骨化病例,包括临床表现和成像发现.
主要成果:
- 在112名患者中发现了3例沿血管脚架异常骨化病例.
- 两名部重建的患者经历了口腔开口的缩小,与CT扫描中脚周围的化组织相关.
- 一名患者因症状性骨化而经历了手术修复.
结论:
- 周骨保持了骨质生成潜力,有助于沿血管脚形成新的骨.
- 血管脚部的机械压力是一个重要的因素;在高压力情况下,可能需要切骨切除.
- 手术切除化只适用于临床症状病例,有助于预防和治疗策略.
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