功能性软口腔重建的功能性软口腔重建
Sofia Oetliker-Contin1, Tarek Ismail1, Rik Osinga1,2,3,4,5
1Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, University Hospital Basel, Basel, Switzerland.
JPRAS open
|January 16, 2025
概括
这项研究介绍了一种新的动态软重建技术,使用肌肉转移和自由. 这种方法有效地恢复了吞和说话功能,最大限度地减少了口腔癌患者的鼻和鼻.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头部和部手术 头部和部手术
- 手术瘤学手术瘤学
背景情况:
- 由于口腔大癌切除而导致的大型软口腔缺陷,可能导致显著的功能缺陷.
- 静态重建方法往往导致喉功能不充分,损害吞和说话.
- 恢复空气机械和声学功能对于患者的生活质量至关重要.
研究的目的:
- 描述一种新的动态软重建技术.
- 评估这种技术在患有口腔癌的患者中的功能性结果.
- 为了评估吞和说话的改善,减少鼻.
主要方法:
- 通过肌肉转移 (消化器肌肉腹部) 和辐射前臂自由,开发了动态重建.
- 进行了解剖学研究以确认神经内置.
- 追溯分析了8名在2007年至2017年期间接受该程序的患者.
主要成果:
- 在8名患者中,有7名患者获得了令人满意的吞功能.
- 所有患者都表现出可以理解的言语,鼻音最小.
- 这项技术在功能性软 palatal 重建中被证明是可行的和有效的.
结论:
- 描述的手术方法为大缺陷提供了功能性的软 palatus 重建.
- 结果接近正常,明显改善吞和说话.
- 这种动态技术是适合口腔癌患者的选择,需要进行广泛的软 palatal 切除.
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