在头部和部癌症患者中用于重建的内肌皮
Vikas Sharma1, Ashish Singhal1, Sandhya Pandey2
1Department of Surgical Oncology, Dr. RMLIMS, Lucknow, Uttar Pradesh, India.
National journal of maxillofacial surgery
|January 20, 2025
概括
低体肌皮 (IHF) 为头癌重建提供了可靠的解决方案. 这项研究表明,IHF有效治疗口腔缺陷,并发症最小,没有复发.
科学领域:
- 手术瘤学手术瘤学
- 重建性手术是一种重建性手术.
- 头部和部癌症 头部和部癌症
背景情况:
- 头部和部瘤切除通常会导致复杂的缺陷,影响功能和美学.
- 微血管外科手术是首选的,但资源密集型;局部区域板是关键的替代方案.
- 这项研究评估了用于头部和部重建的未充分利用的片.
研究的目的:
- 评估在癌症切除后使用低状片用于头部和部缺陷重建的结果.
- 为了确定口腔癌患者的低状重建的疗效和安全性.
主要方法:
- 对14名患有早期口腔状细胞癌 (T1-T3,N0-N1) 的患者进行了回顾性研究.
- 缺陷是小到中等的,由单个外科医生使用下肌皮 (IHF) 重建.
- 手术后进行了1年的随访.
主要成果:
- 没有患者需要修复手术,也没有患者经历了完全的片损失.
- 在4名患者中发生轻微并发症 (表面皮肤亡),保守地管理.
- 没有观察到严重的并发症,囊或辐射亡;在1年内没有复发.
结论:
- 甲状腺下肌皮 (IHF) 是小到中等口腔缺陷的可靠和简单的选择.
- IHF重建避免了额外的切口和捐赠者部位的重建,简化了这一过程.
- 这种片在头部和部重建中表现出高的接受度和成功率.
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