160个连续的侧臂自由板的结果,用于头部和部重建
Kevin J Contrera1,2, Abbas M Hassan1, John W Shuck1
1Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
概括
侧臂免费板是头部和部重建的安全可靠选择,提供多功能性与低捐赠部位发病率. 18.1%的患者的并发症与特定的并发症和缺陷类型有关.
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:
- 头部和部癌症的重建通常需要自主组织转移.
- 侧臂自由是重建复杂缺陷的多功能选择.
研究的目的:
- 为了检查在头部和部重建中侧臂自组织转移的结果.
- 识别与并发症和功能恢复相关的因素.
主要方法:
- 160名患者的回顾性队列研究,这些患者接受了用侧臂或前臂板进行头重建的头重建 (2012-2022年).
- 评估手臂,肩膀和手的残疾 (DASH) 分数.
- 多变量回归分析评估了与并发症和饮食相关的因素.
主要成果:
- 该研究包括160名患有各种头部和部缺陷的患者,主要是口舌 (54%).
- 18.1%的患者出现重大并发症,包括重新手术 (6.3%),再入院 (6.9%),片 (3.7%),片损失 (1.8%).
- 并发症独立地与外周血管疾病,喉缺陷和静脉移植有关.
结论:
- 侧臂自由是头部和部缺陷的安全,多功能和可靠的重建选择.
- 捐赠者部位的发病率很低,0%的患者在12周经历了增加的DASH得分.
- 周围血管疾病,喉缺陷和静脉移植是并发症的重要危险因素.
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