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两个星期之前的Abbe Flap分离:有害还是有利?
John N Muller1, Allison Diaz1, Roberto L Flores1
1Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, NY, 10016, USA.
概括
阿贝的早期分裂 (不到14天) 对于治疗双边裂唇形是安全的. 这种方法没有增加片损失或伤口并发症的风险,可能会减轻患者的护理.
科学领域:
- 整形外科 整形外科 整形外科
- 面外科手术 面外科手术
- 儿科手术 儿科手术
背景情况:
- 阿贝片是一种常见的手术技术,用于纠正双边裂唇患者的上唇形.
- 这种手术通常涉及一个两阶段的过程,在片分裂之前需要2-3周的等待期.
研究的目的:
- 为了评估Abbe片在传统的14天时间之前分割的安全性和有效性. 为了评估Abbe片在传统的14天时间之前的安全性和有效性.
- 为了确定早期的片分裂是否会影响并发症的发生率,例如片损失或伤口损伤.
主要方法:
- 对26名双边裂唇患者进行了回顾性审查,这些患者在8年内接受了Abbe片重建.
- 患者被分为两组:早期分裂 (手术后不到14天) 和晚期分裂 (14天或更长时间).
主要成果:
- 十名患者进行了早期划分,平均时间为9.7天,没有出现片损失,伤口破裂或感染.
- 十六名患者经历了后期分裂,平均时间为15天,报告了四个轻微并发症,但没有片损失.
结论:
- 在第一个术后一周后分割阿贝是双边裂唇修复的安全做法.
- 较早的划分,可能在第一周之后,可能会减少患者及其家属的整体护理负担,而不会影响结果.
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