副次重建的前额与一个 π 形骨皮片
Shimpei Miyamoto1,2, Masaki Arikawa2, Mutsumi Okazaki1
1Department of Plastic and Reconstructive Surgery, The University of Tokyo.
The Journal of craniofacial surgery
|December 26, 2024
概括
瘤前关节缺陷的二次重建是可行的,使用 π 形骨骨质皮片. 这种技术显著改善了面部外观,并消除了对阻塞器假肢的需求.
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
- 在瘤学瘤学.
背景情况:
- 由于瘤性骨缺陷造成的中面形,会给二次重建带来重大挑战.
- 传统方法可能无法完全恢复形式和功能.
研究的目的:
- 为了评估 π 形骨骨皮片在瘤前缺陷的二次重建的疗效.
- 评估需要修复手术的患者的审美和功能结果.
主要方法:
- 分析了两例使用三块, π 形骨骨皮片进行二次前重建的病例.
- 片的皮肤解决了 palatal 粘膜缺陷,血管脚被解剖到部血管.
主要成果:
- 在这两种情况下都取得了成功的重建,并显著改善了面部外观.
- 获得了 palatal 缺陷的完全关闭,避免了需要使用 obturator 假肢.
- 该技术为复杂的二次重建提供了一个可行的选择.
结论:
- 瘤前额缺陷的二次重建,使用 π 形的骨骨皮片是可行的和有效的手术选择.
- 这种方法提供了实质性的美学和功能上的好处,特别是当立即重建是不可能的或失败时.
相关概念视频
01:26Bone Markings
Bones have various surface features that help form joints and attach to other soft tissues. Depending on the function, bone markings are categorized into articulating projections, processes for attachment, depressions, and openings.
Articulating Projections
Articulating projections are found where two bones meet to form a joint. These structures are usually found at the ends of bones. The largest articulation is a rounded projection called the head, supported by a narrow neck at the ends of...
Articulating Projections
Articulating projections are found where two bones meet to form a joint. These structures are usually found at the ends of bones. The largest articulation is a rounded projection called the head, supported by a narrow neck at the ends of...
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...
01:14Cranial Bones: Superior and Posterior View
The superior view of the cranium shows the frontal and paired parietal bones.
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...