上呼吸道的三维形态变化后,大的重建与一个前侧大腿板后的上呼吸道
1Resident, Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology & NHC Key Laboratory of Digital Stomatology & NMPA Key Laboratory for Dental Materials, Beijing, PR China.
使用前侧大腿 (ALTF) 的大重建可以导致上呼吸道暂时收窄. 虽然气道体积恢复,但由于最低气道面积的初始显著减少,警监测至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 呼吸系统医学 呼吸系统医学
背景情况:
- 部重建对于缺陷至关重要,但可以改变上呼吸道尺寸.
- 术后呼吸道阻塞是这些手术后的潜在并发症.
研究的目的:
- 在大重建后评估上呼吸道变化,使用前侧大腿片 (ALTF).
- 为了确定与这些气道修改相关的因素,特别是ALTF体积变化.
主要方法:
- 一个回顾性队列研究,对26名接受大切除术和ALTF重建的患者进行.
- 在手术前和手术后2周和6个月评估上呼吸道参数.
- 计算ALTF体积残留率 (ALTF-RS) 来评估体积的变化.
主要成果:
- 在手术后2周观察到鼻和尾气道体积的显著下降,在6个月后恢复.
- 最小的横截面气道面积在2周后显著减少,但增加了6个月.
- 气道变化与ALTF-RS无关,除了一个特定的椎横截面区域外.
结论:
- 用ALTF进行大骨重建后的气道体积变化与片体积变化 (ALTF-RS) 没有关联.
- 最小气道面积的显著初始缩小凸显了在早期术后期仔细管理气道的重要性.
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