和面部重建的当前选择
1Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.
概括
这项研究回顾了口腔和大面部重建技术,提供了选择最简单的片的指导方针,以获得最佳的形状,功能和最小的捐赠部位发病率.
科学领域:
- 口腔和牙面部外科手术
- 重建性手术是一种重建性手术.
背景情况:
- 口腔和大面部重建的进步为部和面部缺陷提供了多种不同的手术方法.
- 目前的片选择严重依赖于外科医生的经验,而不是经过验证的科学证据.
研究的目的:
- 总结当前对部和面部缺陷的重建选择.
- 根据缺陷特征,提供最新的指导方针来选择最合适的外科.
- 强调实现最佳的形状和功能,以最小的捐赠部位发病率.
主要方法:
- 对各种重建板 (例如,梯子,电梯,饼) 的现有文献进行审查.
- 分析与不同技术相关的风险,捐赠部位发病率和长期结果.
- 综合信息以制定基于证据的指导方针.
主要成果:
- 没有一个单一的验证的基础存在选择重建,导致基于经验的决定.
- 不同的片呈现不同的风险概况和捐赠部位的发病率.
- 最佳的片选择平衡了功能和美学结果,以及手术复杂性和患者幸福感.
结论:
- 应该优先考虑最简单的重建选择,提供最好的长期形式和功能,与最低的捐赠者发病率.
- 需要更新指导方针,以帮助外科医生选择适合于各种下巴和面部缺陷的片.
- 患者的健康和社会福利在重建性决策中至关重要.
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