超薄的前两侧大腿片用于头部和部重建
Kenichi Kamizono1, Hideki Kadota, Sei Yoshida
1Department of Plastic and Reconstructive Surgery, Kyushu University Hospital, Fukuoka, Japan.
The Journal of craniofacial surgery
|October 30, 2024
概括
超薄的前侧大腿 (ALT) 是头部和部重建的安全选择,特别是在肥胖患者中. 与传统的ALT板相比,它没有增加膜瘤和可比的功能结果.
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.
- 头部和部手术 头部和部手术
背景情况:
- 头部和部重建通常需要薄而柔软的板.
- 超薄的前侧大腿 (ALT) 片为这些需求提供了潜在的解决方案.
研究的目的:
- 评估超薄ALT用于头部和部重建的有效性和安全性.
- 为了比较超薄ALT片与常规ALT片在口腔重建中的结果.
主要方法:
- 在2020年1月至2022年12月期间,从头部和部重建中回顾性收集数据.
- 在口腔重建患者中,超薄ALT片与传统ALT片的比较.
- 评估片存活率,术后并发症和功能性结果 (Hirose分数,功能性口服摄入量表).
主要成果:
- 超薄的ALT板显示100%的存活率没有亡.
- 接受超薄ALT片的患者的BMI显著更高 (25.2 vs 21.2 kg/m2).
- 对于超薄的ALT片,观察到可比的术后功能评分和明显较低的二次片精细化手术率 (0%vs7.7%).
结论:
- 超薄的ALT是头部和部重建的安全和可靠的选择,特别是对于肥胖患者.
- 它提供了与传统ALT片相比的功能结果,而不会增加片死.
- 超薄的ALT片减少了在面部皮肤重建中进行二次精细化手术的需要.
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