一个比较的回顾性分析:肌肌皮与皮肤在V-Y介质上角折叠重建中的V-Y介质上角折叠
Bulin Wang1, Shengchang Zhang1, Yi Chen2
1Department of Aesthetic Plastic Surgery, Guangzhou Eye-Nose-Fat Aesthetic Plastic Surgery Hospital, Guangzhou, China.
Frontiers in surgery
|March 15, 2024
概括
与单独使用皮肤片相比,肌肌膜V-Y手术为中枢上角重建提供了更稳定的结果. 这种技术,结合orbicularis oculi环的重建,是建议更好的患者的结果.
科学领域:
- 眼科整形外科 眼科整形外科
- 重建性手术是一种重建性手术.
背景情况:
- 介面上角折形变形会影响美学和视觉领域.
- V-Y推进是一种常见的重建技术,在板类型上有所变化.
- 将皮肤片与肌肌片进行比较对于优化手术结果至关重要.
研究的目的:
- 为了比较肌肌皮与皮肤在V-Y介质上角折叠重建中的疗效.
- 为了评估两种技术之间的术后口腔间距离和患者满意度.
主要方法:
- 一项比较性研究涉及104名接受V-Y介质上垂体折重建的患者.
- 组A (21名患者) 接受了皮肤;组B (83名患者) 接受了肌皮,用于orbicularis oculi环的重建.
- 在6个月的随访期间,测量了口腔间距离和4分利克特满意度问卷用于评估.
主要成果:
- 两个小组都显示了术后间口腔距离的统计显著增加 (P < 0.05).
- 与A组 (皮肤片,3.0毫米) 相比,B组 (肌肌片) 的间腔距离 (3.9毫米) 的平均增加更大.
- 肌肉皮层片组 (B组) 的患者满意度更高.
结论:
- 肌肉皮膜V-Y手术,利用orbicularis oculi环的重建,产生更稳定的术后结果.
- 由于稳定性和患者满意度的提高,这项技术被认为是中枢上角重建的首选手术选择.
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