在接受小血管自由组织转移重建后的儿科患者的呼吸道管理 mandibulectomy 后
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Arterial Pouch Microsurgical Bifurcation Aneurysm Model in the Rabbit
Published on: May 14, 2020
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Elizabeth O Shay1, Madhuri Kesani2, Michael G Moore1
1Department of Otolaryngology-Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
International journal of pediatric otorhinolaryngology
|November 16, 2024
概括
使用微血管自由组织转移 (MVFTT) 的儿科头重建在没有气管切除术的情况下是可行的,避免了潜在的呼吸道并发症,并减少了医院资源的使用. 这种方法为儿童下重建提供了一个安全的替代方案.
科学领域:
- 儿科重建性手术 儿科重建性手术
- 头部和部瘤学 头部和部瘤学
- 微血管自由组织转移 (MVFTT)
背景情况:
- 微血管自由组织转移 (MVFTT) 很少在儿科头重建中进行.
- 在儿科MVFTT中,经手术期间的气道管理,包括气管切除术,没有得到充分的证据.
- 儿童的气管切除术可能会导致长期的患病,原因是柔软的喉肌软骨.
研究的目的:
- 为了评估接受下重建MVPFTT的儿科患者的呼吸道结果.
- 评估气管切除术在这个患者群体中的必要性和影响.
主要方法:
- 在细分下切除术后接受MVFTT的儿科患者 (2014-2023) 的回顾性审查.
- 收集的数据包括人口统计,手术细节和临床结果.
- 使用JMP Pro.进行的统计分析.
主要成果:
- 10名儿科患者 (平均年龄为11.5岁) 接受了因各种下病理而进行的长肢自由重建.
- 两名患者接受了前置气管切除术,但在一周内被解化.
- 没有患者需要重新输管,也没有患者经历了输管术后的长期呼吸道并发症.
结论:
- 无需气管切除术的长肢自由重建是儿科下缺陷的可行选择.
- 避免气管切除术可能会减少医院资源利用率和手术发病率.
- 需要对更大的队列进行进一步的前性研究.
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