用自由血管化骨进行上部重建:15年的经验
Min-Jeong Cho1, Pablo L Padilla2, Roman J Skoracki1
1From the Department of Plastic and Reconstructive Surgery, Ohio State University.
Plastic and reconstructive surgery
|August 30, 2024
概括
免费的长肢板提供了可靠的中脸重建后口切除术,恢复牙功能,轨道支和面部轮. 这种技术有效地解决了复杂的缺陷,具有良好的功能结果和可管理的并发症率.
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
- 重建性手术是一种重建性手术.
背景情况:
- 在大切除术后的中脸重建在恢复轮,口腔和鼻腔分离,轨道支和牙方面存在重大挑战.
- 骨骨皮自由是这些缺陷的复杂重建选择.
研究的目的:
- 介绍一项特定的技术,用于使用骨骨皮质自由片的中间面重建.
- 评估这种重建方法的外科和功能结果.
- 识别和讨论潜在的陷,以避免改善结果.
主要方法:
- 回顾性审查的患者接受了上部重建与骨骨皮质自由片.
- 分析缺陷类型 (Cordeiro类型2和3a),并发程序 (轨道重建) 和植入物放置.
- 评估回收,损失和并发症率 (硬件暴露, palatal ).
主要成果:
- 在73名患者中进行了85个片,其中95.9%的患者接受了骨整合性牙植入物.
- 观察到全损失 (2.7%) 和 palatal fistulas (5.5%) 的低率.
- 报告了高的功能成功率,其中79.5%的语言优秀,80.9%的饮食不受限制.
结论:
- 带有自由长片的部重建可提供可靠的牙,轨道和中脸部支的恢复.
- 该研究详细介绍了技术修改,以尽量减少并发症并提高结果.
- 这种方法在口切除术后复杂的中间面缺陷中是有效的.
相关概念视频
01:40Bone Remodeling
Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
01:27Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...