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复合口腔缺陷的骨质皮片的分裂与脱皮质化:一个倾向性得分匹配的分析
Saumya Mathews1, Vinay Kant Shankhdhar1, Dushyant Jaiswal1
1Department of Plastic and Reconstructive Surgery, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, India.
Oral oncology
|June 29, 2024
概括
这项研究比较了两种管状骨质皮质自由 (FOCFF) 方法用于口缺陷. 分割皮肤 (div-FOCFF) 的结果比去除上皮质 (deEpi-FOCFF) 的结果更好,片损失率更低.
科学领域:
- 整形外科 整形外科 整形外科
- 口腔和牙面部外科手术
- 微手术 微手术是一种微手术.
背景情况:
- 复合口缺陷需要复杂的重建.
- 双皮管骨皮质自由片 (DSP FOCFF) 用于这些缺陷.
- 有两种配置:去皮质的DSPFOCFF (deEpi-FOCFF) 和分割的DSPFOCFF (div-FOCFF).
研究的目的:
- 为了比较deEpi-FOCFF与div-FOCFF用于口重建的手术结果.
- 在这些重建中识别影响自由故障的因素.
主要方法:
- 一项回顾性研究包括接受细分下切除术和DSP FOCFF重建 (2011-2014) 的患者.
- 倾向性得分匹配用于比较deEpi-FOCFF和div-FOCFF组之间的术后结果.
- 多变量分析确定了自由故障的独立预测因素.
主要成果:
- 156名患者 (78对) 进行了匹配. 在 div-FOCFF 组中,每个翻盖的穿孔器数量显著增加.
- 德埃皮-FOCFF组的整体损失率较高 (15%与5%相比).
- 片故障的独立预测因素包括较少的穿孔器,使用deEpi-FOCFF和较长的重建时间.
结论:
- 与去皮质化 DSP FOCFF (deEpi-FOCFF) 相比,分割的 DSP FOCFF (div-FOCFF) 技术提供了更好的重建结果.
- 最佳的穿孔器数量和位置对于成功的div-FOCFF重建至关重要.
- 当穿孔器条件有利时,建议Div-FOCFF用于复合口腔缺陷.
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