上关节动脉岛用于头部和部瘤重建:15年的经验,过去,现在,未来
Hani Y Nasr1, Paul Friedlander2, Ernest S Chiu1
1Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, N.Y.
Plastic and reconstructive surgery. Global open
|June 21, 2023
概括
关节上动脉岛 (SCAIF) 的结果与用于头部和部重建的自由提供了相似的结果. 这种多功能片可以减少成本,住院和手术时间,而捐赠地点的问题最小化.
科学领域:
- 整形外科 整形外科 整形外科
- 头部和部手术 头部和部手术
- 重建性手术是一种重建性手术.
背景情况:
- 头部和部重建带来了重大挑战,需要软组织覆盖,美学匹配,以及最小的捐赠部位发病率.
- 皮筋自由板 (FFF) 是常用的,但局部区域板正在获得引力.
- 关节上关节动脉岛 (SCAIF) 是一个基于轴轴的皮带,已被证明具有与FFF相似的结果的潜力.
研究的目的:
- 评估15年来在头部和部重建中使用关节上动脉岛 (SCAIF) 的经验.
- 讨论SCAIF的演变和适用范围.
- 将SCAIF的结果与已知的重建方法进行比较.
主要方法:
- 从2006年到2021年,对128名接受SCAIF头重建的患者进行了回顾性图表审查.
- 收集的数据包括患者人口统计数据,手术时间,停留时间,手术指示和并发症.
- 分析的重点是并发症率和功能性供体部位发病率.
主要成果:
- 患者平均年龄为66.9岁,平均停留和随访时间分别为6.9天和9.1个月.
- 常见的适应症包括复发性辐射部疾病 (21.1%),喉壁缺陷 (18.0%) 和腹膜切除缺陷 (16.4%).
- 整体并发症率为17.2%,其中部分片损失 (5.5%) 和喉泄漏 (3.2%) 是最常见的. 没有观察到功能性捐赠部位的发病率.
结论:
- 该SCAIF是一个多功能,基于轴的皮带片,适用于头部和部的重建.
- 它实现了与FFF相似的结果,同时潜在地降低了成本,停留时间,手术时间和捐赠部位的发病率.
- SCAIF代表了各种头部和部缺陷的有效替代品.
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