用于下重建的脚无尖片的技术改进
Andrea Ferri1, Giuseppe Perlangeli1, Francesca Zito1
1Operative Unite of Maxillo-Facial Surgery Head and Neck Department, University of Parma, Parma, Italy.
Microsurgery
|March 30, 2024
概括
脚尖嵌合体自由 (STFF) 提供了优秀的下重建,特别是对于选择有限或健康状况不佳的患者. 技术修改增强了骨段采集和软组织集成,以获得更优异的功能和化品效果.
科学领域:
- 口腔和牙面部外科手术
- 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.
背景情况:
- 脚尖嵌合体自由 (STFF) 越来越多地用于下重建.
- 与其他骨相比,它们的有效性仍在争论中.
- 这项研究评估了用于下重建的STFF技术修改.
研究的目的:
- 描述用于下重建的STFF的技术修改.
- 评估这些修改后的片的功能和化品结果.
- 评估STFF在单中心患者系列中的实用性.
主要方法:
- 用STFF进行下重建的31名患者的回顾性分析 (2014-2022年).
- 收集了关于类型,骨管理,血管脚和结果的数据.
- 同时在仰卧姿势下采摘,并准备化学成分 (大背,大,头骨头顶).
主要成果:
- 平均收获的骨头长度:69.92毫米 (最大104毫米);平均高度:26.78毫米 (最大44.2毫米).
- 25例患者口腔开口正常;6例患者口腔开口有限.
- 在20名患者中表现出色的化品效果,在8名患者中表现良好,在3名患者中表现不佳.
结论:
- STFFs是下重建的绝佳选择,特别是在其他片无法使用时或在一般状况不佳的患者中.
- 技术创新允许采集长骨段,精确的塑造和适当的软组织部件.
- 修改后的STFF可以获得令人满意的功能和化品效果.
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