循环神经损伤技术用于防止骨再吸收和保持部重建中的感觉
Jingcun Shi1,2,3,4,5,6, Yuhan Zhang1,2,3,4,5,6, Bingqing Zhang1,2,3,4,5,6
1From the Departments of Oral and Maxillofacial Surgery-Head and Neck Oncology and.
Plastic and reconstructive surgery
|March 20, 2024
概括
一个内化血管化的阴茎骨有效地防止下唇骨的再吸收,并保持感官功能. 这种新的方法为下重建提供了安全有效的解决方案,改善了患者的治疗结果.
科学领域:
- 口腔和牙面部外科手术
- 整形和重建手术 整形和重建手术
- 神经外科 神经外科
背景情况:
- 在下巴重建后,骨的吸收和下唇的感觉丧失可能会发生.
- 保持骨完整性和感官功能对于最佳的患者结果至关重要.
研究的目的:
- 为了研究内化血管化阴骨在防止骨再吸收方面的有效性.
- 评估该技术在下唇维持感觉功能的能力.
主要方法:
- 这项研究比较了内置组 (血管和神经解剖) 与对照组 (仅血管解剖).
- 计算机断层扫描评估了骨质量,而2点歧视和当前感知值测试评估了感官恢复.
主要成果:
- 与对照组 (37.98%) 相比,内化组的霍恩斯菲尔德单位损失显著减少 (13.26%).
- 在内置组中观察到感官恢复的改善,具有较低的2点歧视和当前感知值.
结论:
- 内置的血管化阴骨板是下骨重建的安全有效方法.
- 这种技术成功地保持了下唇的感觉,并防止了骨的再吸收.
相关概念视频
Bone Remodeling
Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
Blood and Nerve Supply to the Bones
Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Bone Remodeling and Repair
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during bone...


