切割平面对肋骨软骨曲的影响
Sanathorn Ratanapoompinyo1, Kidakorn Kiranantawat1
1From the Division of Plastic and Maxillofacial Surgery, Department of Surgery, Ramathibodi Hospital, Mahidol University.
Plastic and reconstructive surgery
|April 15, 2024
概括
为了最大限度地减少鼻子重建移植的曲,避免头尾切割. 在薄型移植中选择前后或同线平行平面,并考虑盐水浸泡以稳定软骨形状.
科学领域:
- 整形外科 整形外科 整形外科
- 生物材料科学 生物材料科学
- 手术解剖学手术解剖学
背景情况:
- 自生肋骨软骨是鼻子重建和鼻膜整形的首选材料,因为它的可用性.
- 肋骨软骨移植的一个重大挑战是它们在收获后倾向于扭曲.
- 这项研究研究了特定的切割技术,以减轻软骨曲.
研究的目的:
- 确定肋骨软骨移植的最佳切割平面,以尽量减少术后曲.
- 为进行鼻子重建的外科医生提供基于证据的建议.
主要方法:
- 从10具尸体中摘取了207个肋骨软骨移植.
- 植入物沿着头尾部,前后部和同 - 平行平面进行切割.
- 植入物进一步按中心/外围起源和1,2,或3毫米厚度进行分类,随着时间的推移测量曲.
主要成果:
- 与其他平面相比,头尾切割导致明显更多的曲.
- 前后切割显示出最少的曲,尽管在统计学上没有显著意义.
- 最大扭曲发生在30分钟内,一些移植继续扭曲长达1个月.
结论:
- 头尾切割平面导致最大程度的软骨曲.
- 对于薄 (<3毫米) 的直列移植,建议使用前后或同线平行平面.
- 较厚 (>3毫米) 的移植物或曲的软骨可能会耐受脑骨切割,在盐水中浸泡30分钟的移植物可以稳定形状.
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