化学与多个同时的自由片用于头部和部重建
Johnny Wang1, Theresa Tharakan1, Ryan S Jackson1
1Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.
概括
化学片提供更短的住院时间,但与头部和部重建中的多个片相比,其主要并发症率更高. 这两种技术都是可行的,如果仔细选择患者,可以优化结果.
科学领域:
- 微手术 微手术是一种微手术.
- 头部和部重建的重建
- 整形外科 整形外科 整形外科
背景情况:
- 大型头部和部缺陷给微血管外科医生带来了重大的重建挑战.
- 化学和多个自由板是用于复杂组织重建的手术技术.
研究的目的:
- 为了比较手术结果和手术后并发症之间的奇米尔和多个.
- 在头部和部重建中,评估了模拟片与多个片的有效性.
主要方法:
- 对113名接受了模拟或多次同时进行自由组织移植的患者的回顾性审查 (2016年6月 - 2023年10月).
- 主要结局:并发症发生率 (重大与轻微). 二次结果:手术时间,住院时间,片存活率.
主要成果:
- 嵌合体和多重板之间的操作时间或轻微并发症没有显著差异.
- 化学片与更短的住院时间有关.
- 嵌合体片 (42.1%) 与多重片 (22.7%) 相比,主要并发症率更高,P=.03.
结论:
- 在头部和部缺陷中适当使用时,嵌合式和多重片都会产生可接受的并发症率.
- 化学片对于先前接受过辐射或彻底切除的患者来说是一个有价值的选择.
- 个体患者的个人形状和机构的能力应指导在合体和多重之间做出选择,以获得最佳的结果.
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