在面外科手术中移除刚性内部固定装置的原因:20年更新
Jeremy V Lynn1, Melissa C Daniel, Charlotte M K Jackson
1Section of Plastic Surgery, University of Michigan, Ann Arbor, MI.
The Journal of craniofacial surgery
|February 13, 2024
概括
面硬件移除趋势显示,患者现在保留固定装置的时间更长. 这一转变与改进的外科手术技术和硬件配置相关,硬件暴露成为移除的主要原因.
科学领域:
- 面外科手术 面外科手术
- 生物材料在医学中的应用
- 手术结果研究研究.
背景情况:
- 刚性内部固定硬件用于面重建已经显著发展.
- 因此,随着时间的推移,计划外的硬件移除的原因发生了变化.
- 了解这些趋势对于优化患者护理和手术规划至关重要.
研究的目的:
- 为了比较历史 (1989-1995) 和最近 (2000-2020) 患者队列之间的非计划性面硬件切除趋势.
- 识别人口结构的变化,硬件安置的原因以及意外移除的原因.
- 在面硬件管理中建立不断发展的模式.
主要方法:
- 从两个不同的时间段回顾患者数据的回顾性审查.
- 从最初的出版物 (1989-1995) 的数据与新收集的电子病历数据 (2000-2020) 的数据进行比较.
- 描述性统计分析,以比较患者的人口统计数据,固定指示和意外移除原因.
主要成果:
- 这项研究包括55名患者 (1989-1995) 和184名患者 (2000-2020).
- 固定时的平均年龄从32岁降低到28岁;主要指标从MVA转移到先天性形.
- 硬件保留时间翻了一番 (13到25个月),硬件暴露取代了突出的硬件作为主要的移除原因.
结论:
- 在2000年至2020年期间接受治疗的患者保留了面硬件的时间是1989年至1995年期间接受治疗的患者的两倍.
- 改进的外科手术技术,不那么突出的硬件和更大的外科医生经验可能有助于增加硬件保留率.
- 需要进一步的研究,以确定非计划的硬件移除的术前风险因素.
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