用于瘤和先天性缺陷患者康复的肌植入物:一个案例系列
Gerardo Pellegrino1, Achille Tarsitano2, Stefano Ratti3
1Unit of Oral Surgery, Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy; Department of Health Sciences, Magna Graecia University of Catanzaro, Catanzaro, Italy.
概括
关节植入物为需要下重建的癌症患者提供了可行的解决方案,尽管出现了一些并发症,但仍显示出高生存率. 这种方法特别有用,当骨移植不是.
科学领域:
- 口腔和牙面部外科手术
- 在瘤学瘤学.
- 牙科植入物学 牙科植入物学
背景情况:
- 瘤患者通常需要由于癌症而进行上切除,导致显著的功能和美学缺陷.
- 使用常规牙科植入物的康复可能是具有挑战性的,因为骨体积和骨质质量受损.
- 在这些复杂的病例中,腹肌植入物为立即或延迟的假肢康复提供了一个潜在的替代方案.
研究的目的:
- 为了评估关节植入物支持假肢康复的瘤患者的临床结果.
- 评估植入物和假肢的生存率,并确定相关的并发症.
- 为了确定在复杂的瘤重建中牙植入物的可行性.
主要方法:
- 一个涉及10名接受上切除的瘤患者的病例系列.
- 标准化手术放置肌肉植入物和假肢康复.
- 评估植入物和假肢存活率,生物和假肢并发症,平均随访时间为5.78年.
主要成果:
- 在10名患者身上,总共安置了35个腰部植入物.
- 植入物存活率为94.29%,平均随访时间为5.78年.
- 生物并发症发生在40%的患者中,假肢并发症发生在40%的患者中,需要修改,但没有彻底失败.
结论:
- 腹肌植入物是癌症患者具有显著的尾缺陷的可行的假肢解决方案,特别是当骨移植是不可行的.
- 虽然牙植入物显示出有利的生存率,但中长期并发症需要仔细管理和患者监测.
- 建议对更大的队列和元分析进行进一步的研究,以加强在瘤患者中修复肌肉植入物的证据基础.
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