在急性面部创伤中用于覆盖和重建的初级免费板
Parvati Ravula1, Srikanth R1, Pathan Subhan Khan1
1Department of Plastic & Reconstructive Surgery, Nizams Institute of Medical Sciences, Panjagutta, Hyderabad, Telangana, India.
概括
自由重建有效地解决了机动车辆事故造成的急性面部创伤缺陷,使关键结构的同时修复和改善功能结果. 当局部组织不足以进行重建时,这种方法至关重要.
科学领域:
- 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.
- 创伤外科 手术 创伤外科
背景情况:
- 急性面部创伤,通常是机动车辆事故造成的,可以导致显著的骨,神经肌肉和粘膜缺陷.
- 这些复杂缺陷的重建通常需要由于局部组织稀缺而需要片覆盖.
- 在面部严重受伤时,自由皮肤板对于恢复形状和功能至关重要.
研究的目的:
- 为了评估自由重建在管理急性面部创伤缺陷的有效性.
- 分析面部创伤免费手术患者的伤害类型,片选择和结果.
- 确定自由在实现初级重建和功能恢复中的作用.
主要方法:
- 在10年的时间里,对10年来面部急性创伤的6次自由重建进行了回顾性审查.
- 缺陷位置,大小,相关伤害 (骨折,神经损伤,肌肉损失),片类型和重建手术的分析.
- 评估翻盖结果,包括可行性和重新探索的需要.
主要成果:
- 六名患者 (4名男性,2名女性;年龄在18-63岁) 面部缺陷范围为96-346平方厘米,接受了重建.
- 常见的相关伤害包括骨折 (3),面部神经受伤 (2) 和肌肉损失 (1).
- 使用前侧大腿 (5) 和半径动脉前臂 (1),在6例中的5例中取得了成功结果 (由于阿斯伯吉洛症而失去一个).
结论:
- 免费翻盖覆盖是高速度急性面部创伤的可行和有效选择,特别是在非弹道伤害中.
- 它促进了单阶段的脱bridement,盖覆盖,并同时重建功能性面部单元.
- 这种方法为初级重建提供了更好的可能性,并在复杂的面部缺陷中提供了更好的功能结果.
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