关节再结症的管理:一个病例系列
Prasad Cheruvathur1, Sethurajan Sethurajan Balasubramanian1, Lavanya Lakshminarasimhan1
1Department of Oral and Maxillofacial Surgery, Tamil Nadu Government Dental College and Hospital, Chennai, IND.
Cureus
|June 28, 2023
概括
这项研究评估了埃斯马奇手术对复发性关节瘤的治疗方法. 传统的埃斯马奇手术,在神经通道下面的骨切除术,产生了令人满意的口腔开口和最小的出血,证明对严重病例有效.
科学领域:
- 口腔和牙面部外科手术
- 整形外科手术 整形外科手术
背景情况:
- 关节化是一种严重的疾病,导致下-关节骨融合.
- 手术治疗需要个性化方案和积极的术后物理治疗才能取得成功.
- 复发的病例对面外科医生来说是一个重大挑战.
研究的目的:
- 改善患有复发性关节缩症的患者的口腔开口.
- 为了评估常规和修改的埃斯马奇手术对再瘤的疗效.
主要方法:
- 一个由6名患者组成的病例系列,患有复发性关节瘤.
- 五名患者接受了传统的埃斯马奇手术 (下膜神经通道下方的骨切除术).
- 一名患者接受了经过修改的埃斯马奇手术 (下膜神经通道上方的骨切除术).
主要成果:
- 在所有6名患者中,都取得了令人满意的术后口腔开口.
- 经过修改的埃斯马奇手术,由于靠近关动脉,导致了显著的手术内出血.
- 传统的埃斯马奇手术带来了最小的出血,但存在下膜神经麻醉的风险.
结论:
- 埃斯马奇手术在关节再瘤中是有效的.
- 由于降低了出血风险,传统的Esmarch手术与神经通道下方的骨切除在广泛的软骨症中是首选的.
- 需要仔细管理潜在的神经麻醉症.
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