堆叠的关节片用于单边全额大切除术重建,并保留轨道
Tyler G Chan1, Chris Nickel2, Clementino Solares2
1Emory University School of Medicine, Atlanta, Georgia, USA.
Head & neck
|November 7, 2023
概括
本研究介绍了一种修改后关节片技术,用于重建单边全切除术缺陷,以低并发症率实现良好的美学和功能结果.
科学领域:
- 口腔和牙面部外科手术
- 整形和重建手术 整形和重建手术
- 在瘤学瘤学.
背景情况:
- 单侧全切除术是一种复杂的手术,用于晚期的中脸瘤.
- 大切除术后的重建带来了重大的美学和功能挑战.
- 轨道的保存增加了复杂性,以maxillectomy缺陷重建.
研究的目的:
- 提出一种修改后的,可复制的骨膜技术,用于单边全额切除术,并保留轨道.
- 评估这种重建方法的美学和功能成果.
- 报告与该技术相关的并发症和片生存率.
主要方法:
- 20名患者的回顾性审查,这些患者接受了单边全额大切除术重建,并使用堆叠的骨 (2018-2022年).
- 专注于修改后的,两段骨板方法,用于轨道的保存.
- 手术步骤的文档与摄影证据.
主要成果:
- 该研究包括20名患有恶性瘤缺陷 (80%) 或其他疾病 (20%) 的患者.
- 经过修改的骨板技术证明了95%的板生存率.
- 观察到30%的并发症率,报告了积极的美学和功能结果.
结论:
- 修改后的堆叠骨是一个可重复和有效的方法,用于单边全额口切除术与轨道保存.
- 这种技术为患者提供了有利的美学和功能结果.
- 提出的方法解决了与广泛的中间表面缺陷相关的重建挑战.
相关概念视频
01:27Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:03Structural Joints: Fibrous Joints
Fibrous joints are a type of joint where the bones are connected by fibrous connective tissue. These joints provide stability and minimal to no movement between the articulating bones. There are three types of fibrous joints.
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...