在头部和部重建中安全可靠地使用关节上片
1Department of Plastic and Reconstructive Surgery, Kyushu University Hospital, Fukuoka, Japan.
The Journal of craniofacial surgery
|July 18, 2024
概括
这项研究通过将其设计限制在上,完善了上关节技术. 这种方法成功地在没有并发症的情况下重建缺陷,最大限度地降低了区域片重建的捐赠部位发病率.
科学领域:
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
背景情况:
- 关节上侧是用于重建的区域侧.
- 虽然它因手术时间缩短和与免费片相比的捐赠部位发病率而受欢迎,但它报告了并发症和有争议的指示.
- 完善其设计和应用至关重要.
研究的目的:
- 为了评估一个修改后的关节上关节技术.
- 通过将片设计局限于关节上腔,以尽量减少捐赠者部位的发病率.
- 评估这种精致技术在重建宫和喉缺陷方面的有效性和安全性.
主要方法:
- 对2014年至2023年期间进行的关节上片重建的回顾性审查.
- 板设计仅限于关节上腔,在边界和转移角度上有特定的限制.
- 注意使用转换,VY推进或旋转方法插入无张力.
主要成果:
- 分析了四个病例:3个宫皮肤缺陷和1个喉粘膜缺陷.
- 平均缺陷大小为7x3.9厘米,平均片大小为11.5x4.4厘米.
- 所有的重建都是成功的,没有片相关的并发症,捐赠者部位的痕是不显眼的.
结论:
- 将关节上侧的设计限制在关节上侧穴中是成功的关键.
- 限制指示到中等尺寸的缺陷,并确保无张力插件至关重要.
- 这种精致的技术为特定的重建需求提供了安全有效的选择.
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