在大切除术缺陷中微血管自由的结果来自侵入性真菌鼻炎的缺陷
Shilpa M Rao1, P Daniel Knott2, Larissa Sweeny3
1Department of Otolaryngology - Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
The Laryngoscope
|September 29, 2023
概括
针对侵袭性真菌鼻炎 (IFS) 中面缺陷的自由重建显示出良好的结果. 然而,在脱bridement的两个月内进行早期重建会增加这些患者延迟伤口愈合的风险.
科学领域:
- 头部和部手术 头部和部手术
- 整形外科 整形外科 整形外科
- 传染性疾病 传染性疾病
背景情况:
- 微血管自由组织转移是恶性病后中面缺陷的标准.
- 侵袭性真菌鼻炎 (IFS) 缺陷的重建结果还没有得到充分的研究.
- 在IFS中,自由重建的最佳时间和风险因素尚不清楚.
研究的目的:
- 评估IFS缺陷的自由重建结果.
- 确定IFS治疗后重建的理想时间.
- 评估抗真菌药物和患者危险因素对重建的影响.
主要方法:
- 对27名因IFS (2010-2022) 接受自由重建的患者进行了回顾性审查.
- 患者因子的比较 (年龄,BMI,HbA1c,脱bridements,间隔到重建) 之间和没有延迟伤口愈合的群体.
- 对延迟愈合的预测因素的分析以及时间对重建成功的影响.
主要成果:
- 七个片 (25.9%) 经历了延迟的伤口愈合.
- 脱bridement后不到两个月的重建间隔与延迟愈合显著相关 (p=0.0062).
- 糖尿病,BMI,HbA1c和骨重建与延迟愈合没有相关性.
结论:
- 微血管自由重建是因IFS造成的口切除缺陷的可行选择,即使是在抗真菌治疗期间.
- 在最后一次脱bridement的两个月内进行重建与延迟伤口愈合的风险增加有关.
- 仔细的重建时间对于IFS患者的成功结果至关重要.
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