根据表面动脉的正面分支扩展的额叶片:宫面部重建的模式,技术和结果
Zixuan Zhang1, Xinyue Dai, Mengqing Zang
1Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Shijingshan District, Beijing, China.
The Journal of craniofacial surgery
|January 31, 2025
概括
基于表面动脉的额叶片 (STA-Fbr) 是重建面部和部缺陷的可靠方法. 这项研究总结了收获模式,显示了这些多功能片的高生存率.
科学领域:
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
- 头部和部手术 头部和部手术
背景情况:
- 宫面部缺陷需要多功能重建技术.
- 额叶提供了功能和美学解决方案.
- 表面动脉正面分支 (STA-Fbr) 是这些片的关键血管供应.
研究的目的:
- 总结和分析STA-Fbr额叶的收获模式.
- 评估与不同板模式相关的结果和并发症.
- 评估STA-Fbr额叶在宫面部重建中的可靠性.
主要方法:
- 对66名用STA-Fbr额叶进行宫面部重建的患者的回顾性审查 (2003年7月至2023年7月).
- 折叠板的分类为I型 (血管脚踏式) 和II型 (皮肤脚踏式),并对II型进行进一步细分.
- 对膜存活率,输液相关并发症,缺陷/膜尺寸和扩展器使用情况的分析.
主要成果:
- 总共使用了66个STA-Fbr额叶片,其中62个没有出现主要的输液并发症而存活.
- 图案II (皮肤脚) 的片比图案I (血管脚) 的片 (10/66) 更常见 (56/66).
- 静脉堵塞等轻微并发症发生在4个片中,大多数成功管理.
结论:
- 基于STA-Fbr的额头是重建各种宫面部缺陷的可靠和有效选择.
- 成功的结果取决于详细的解剖学理解,精确的片设计和明确的患者沟通.
- 血管踏板和皮肤踏板的STA-Fbr板都在实现功能和美学效果方面表现出高的成功率.
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