骨皮微血管自由片是一种可行的选择,用于重建关节
Mohammed Qaisi1,2, Thaer Al Azzawi3, Fanti Joseph4
1Oral & Maxillofacial Surgery, USA.
Heliyon
|April 4, 2024
概括
骨皮质自由板对于重建涉及关节 (TMJ) 的下缺陷是有效的,提供了良好的功能结果. 上关固定可能会改善稳定性,并防止像状骨折这样的并发症.
科学领域:
- 口腔和牙面部外科手术
- 重建性手术是一种重建性手术.
- 生物医学工程 生物医学工程
背景情况:
- 涉及关节 (TMJ) 的下缺陷会带来重建方面的挑战.
- 骨皮性自由板是TMJ重建的可行选择.
研究的目的:
- 评估TMJ重建中骨质皮质自由的临床结果和功能.
- 评估血管化无骨片在切割后恢复下功能方面取得的成功.
主要方法:
- 对接受下切除和关节重建的患者进行了回顾性队列研究,使用血管化无骨.
- 数据收集包括患者人口统计,功能结果 (MIO,闭塞,偏差) 和TMJ症状.
- 术后CT成像分析了相对于状沟和关节突出位置的片位置.
主要成果:
- 八名患有关节缺陷的下缺陷的患者接受了重建,百分之百的片成功率.
- 平均最大间口 (MIO) 为37.37毫米,其中7/8的患者实现了完整的闭塞.
- CT成像显示,新冠状体平均距离为14毫米到沟,8.68毫米到关节突出部.
结论:
- 血管化骨皮片对于重建涉及TMJ的下缺陷是有效的.
- 开启时的ipsilateral偏差没有对功能结果产生负面影响.
- 长达4-6周的尾关固定可以防止尾垂,并确保稳定的闭塞.
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