不分离的部肌肉和持续的头骨整形术方法在压缩性头骨切除术后:技术说明
Hanif Gordang Tobing1, Fabianto Santoso1, Ricky Rusydi Satriawan1
1Department of Neurosurgery, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Korean journal of neurotrauma
|July 18, 2024
概括
头骨整形 (CP) 修复了头骨缺陷. 保持肌与硬骨相连的技术可以最大限度地减少问题,避免肌肉损伤,改善功能结果.
科学领域:
- 神经外科 神经外科
- 整形外科 整形外科 整形外科
- 面外科手术 面外科手术
背景情况:
- 头骨整形 (CP) 是对头骨缺陷的重建手术,通常是在解压式头骨切除术后进行的.
- 在CP期间的时间肌肉操纵可能会导致诸如收缩,粘附和功能缺陷等并发症.
- 现有的CP技术可能会导致美容和功能问题,包括口功能障碍.
研究的目的:
- 提出技术说明和使用未分离的肌肉-杜拉技术的骨整形术的结果.
- 在这种特定的CP方法之后,评估功能结果,特别是质量.
- 评估在造术期间保护肌完整性的有效性.
主要方法:
- 在2019-2022年期间,对23名接受CP的患者进行了回顾性观察性研究.
- 使用未分离的肌肉硬度技术,将移植物 (自身骨或网状) 放置在完整的肌层上方.
- 使用OHIP-14问卷评估功能结果,重点关注质量.
主要成果:
- 大多数最初的手术是由于创伤 (65.2%).
- 在52.2%的病例中使用了自身骨,并采用了各种存储方法.
- 只有一个患者报告了口问题 (p<0.001),这表明该技术的显著益处.
结论:
- 头骨整形术对于改善头骨缺陷修复后的功能和美学结果至关重要.
- 不分离的肌肉-dura骨整形技术有效地减少了通过保留肌功能来减少的问题.
- 这种方法提供了一种可行的替代方案,以尽量减少与肌剖析相关的外科并发症.
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