复合下缺陷的重建使用细胞骨异构和软组织免费盖覆盖的复合下缺陷
Kevin J Carlson1,2, Robert M Liebman3,2, Matthew J Bak2
1Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, University of Wisconsin, Madison, WI, USA.
Craniomaxillofacial trauma & reconstruction
|November 18, 2024
概括
细胞骨异位移植 (CBAs) 显示出没有自身组件的下重建的前景. 早期的结果表明,在精选的患者中,移植整合和缺陷管理取得了成功.
科学领域:
- 口腔和牙面部外科手术
- 再生医学是一种再生医学.
- 生物材料科学 生物材料科学
背景情况:
- 细胞骨异位移植 (CBA) 是有效的骨移植材料,缺乏自身成分.
- 它们在下重建中的使用尚未得到充分记录.
- 本研究审查了CBA在下缺陷重建中的应用.
研究的目的:
- 为了评估细胞骨全移植 (CBAs) 对于下重建的疗效.
- 评估在没有自身成分的CBA接受的患者的移植存活率和缺陷管理.
- 报告使用CBA进行下重建的术后成像发现.
主要方法:
- 进行下重建的患者的回顾性病例系列.
- 使用的细胞骨全移植 (CBA) 具有患者特定的移植和免费覆盖.
- 评估了移植存活率,缺陷管理和术后成像结果.
主要成果:
- 五名患者 (年龄在23-56岁) 接受了创伤或恶性瘤缺陷的重建.
- 四名患者实现了最终的缺陷管理,三名患者在成像上显示骨形成.
- 一名患者因状管发生了移植失败,但被成功挽救.
结论:
- 没有自身组件的细胞骨异体移植 (CBA) 显示了下重建的有希望的早期结果.
- 结合软组织免费片覆盖,CBA可以成为选择患者的可行选择.
- 需要进一步调查以确认长期结果.
相关概念视频
Bone 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.
Long-patch Base Excision Repair
Since the discovery of the two BER pathways, there has been a debate about how a cell chooses one pathway over the other and the factors determining this selection. Numerous in vitro experiments have pointed out multiple determinants for the sub-pathway selection. These are:
Overview of Regeneration and Repair
Regeneration and repair processes are critical in healing damages caused by injury, disease, and aging. In regeneration, the damaged tissue is entirely replaced with new growth that restores the original architecture and function. In contrast, tissue repair usually results in a fixed tissue architecture involving scar formation. Scars generally do not reestablish tissue function and may also exhibit structural abnormalities at the injury site.
Regeneration
All animals have varying degrees of...
Regeneration
All animals have varying degrees of...
Fractures: 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...
Bone Remodeling and Repair
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during bone...


