在24个月以上的患者的头骨面部手术中使用可吸收的稳定固定 - 一个回顾性研究
Julian Faber1, Christian Linz2, Hartmut Böhm3
1Department for Oral and Craniomaxillofacial Plastic Surgery, University Hospital Cologne, Kerpener Straße 62, 50937, Cologne, Germany. julian.faber@uk-koeln.de.
概括
可吸收的接在24个月以上的儿童的头骨脸部手术中提供稳定的骨固定. 这种安全,具有成本效益的方法可以避免进行第二次切除手术.
科学领域:
- 面外科手术 面外科手术
- 儿科整形外科 儿科整形外科
- 生物材料在医学中的应用
背景情况:
- 转移骨段的稳定固定对于成功的面手术结果至关重要.
- 可吸收材料消除了需要进行二次手术来移除固定装置的需要.
- 以前的研究证实了可吸收在年轻患者 (24个月) 的有效性.
研究的目的:
- 评估仅使用可吸收的可行性,以确保老年儿童 (24个月以上) 的稳定骨固定.
- 为了评估长期稳定性和潜在的并发症,如异物反应在这个队列.
主要方法:
- 在50名儿科患者 (平均年龄为61.4个月) 中,仅使用可吸收 (PDS II®) 进行了骨质合成.
- 进行了临床和放射学后续检查,以评估术后的稳定性.
- 评估包括监测任何不良反应,如异物反应.
主要成果:
- 所有患者都实现了稳定的骨质合成,这在手术后和随访期间得到了证实.
- 在任何参与者身上都没有观察到任何显著的异物反应.
- 放射学评估证实了稳定的骨段固定的临床发现.
结论:
- 这项研究表明,在24个月以上的儿童中,长时间吸收的可吸收 sutures 对面骨固定的有效性.
- 单独使用可吸收 sutures 是一个安全和有效的程序在这个年龄组,与最小的风险的异物反应.
- 这种方法提供了一个稳定的,经济高效的骨质合成解决方案,而不需要改变手术技术.
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