在牙面部重建中,经过长腿骨自由结核的治疗
Renaud Preudhomme1, Alexis Veyssière1, Anh-Claire Bildstein1
1Caen University Hospital. Oral and Maxillofacial Surgery Department, Address: Avenue de la Côte de Nacre, 14033 Caen France.
Journal of stomatology, oral and maxillofacial surgery
|August 10, 2023
概括
使用新的自由骨 (FFF) 立即重建是口面重建中FFF骨亡的最佳救援策略,提供更快的愈合和更短的住院时间. 其他方法会导致更多的并发症和延迟.
科学领域:
- 面外科手术 面外科手术
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
背景情况:
- 自由关节 (FFF) 亡是一种罕见但严重的并发症.
- 现有文献中没有充分记录FFF死的管理策略.
研究的目的:
- 为了评估和比较不同的救援治疗选择,在面重建中,对完全自由的支柱骨膜亡的治疗.
- 确定最有效的方法来改善患者的治疗结果,并最大限度地减少并发症.
主要方法:
- 从2005年至2020年期间,对16例FFF全死病例进行了回顾性分析.
- 根据救援情况分为三个类别:即时新的FFF,脚的胸部大,或保守的管理.
- 对术后并发症,住院时间和放射治疗延迟的分析.
主要成果:
- 立即新的FFF组 (2名患者):没有并发症,平均住院10天.
- 胸部大组 (11名患者):高并发症率 (73%的重复手术),平均住院时间为37天.
- 保守管理组 (3名患者): 2名患者出现并发症,平均住院时间为15天.
结论:
- 用新的自由进行即时重建是FFF缩的首选挽救方法.
- 这种方法导致更短的愈合时间,减少住院治疗,以及更好的功能/美学结果.
- 替代方法应保留给一般状况不佳或拒绝初级FFF重建的患者.
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