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早期的第二个自由需要在初级下部重建后与骨质放射性死相关的非结合

Richard Tee¹, Riccardo Schweizer^2,3, Cristina Gomez-Martinez-de-Lecea¹

¹From the Department of Plastic and Maxillofacial Surgery, Uppsala University Hospital, Uppsala, Sweden.

Plastic and reconstructive surgery. Global open

|June 19, 2023

概括

在下重建后的骨质放射性死结 (ORN) 不结合可以通过嵌合式脚尖自由 (STFF) 进行管理. 这种方法对患有这种特定ORN并发症的患者显示出良好的结果.

科学领域:

口腔和牙面部外科手术
重建性手术是一种重建性手术.
在瘤学瘤学.

背景情况:

骨质放射性死 (ORN) 的分期指南不包括在自由和本地下的结合处的非结合.
这种特定类型的ORN在下重建后呈现为症状性非联合.

研究的目的:

报告和提议早期管理ORN诱导的非工会使用一个虚构的头巾尖自由 (STFF).
评估STFF在下重建后治疗非结合症的疗效.

主要方法:

对需要在初级自由关节 (FFF) 与本地下交汇处进行第二次免费骨的患者进行回顾.
在10年的时间里,对患者人口统计,瘤学细节,外科手术和治疗结果的分析.

主要成果:

四名患者 (主要FFF病例的8.7%) 呈现了ORN和nonunion.
所有患者都用仿真STFF重建,实现症状解消和放射性结合.
两名患者后来接受了骨整合牙科植入物.

结论:

在初级FFF进行下重建后,发生了显著的非联合率.
早期的手术干预与仿真STFF是有效的管理这个ORN并发症.
目前的ORN分级系统不能充分解决这个特定的临床实体.

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