风险因素 片损失 中面重建与血管化 片片的风险因素
Katsuhiro Ishida1, Yohjiro Makino1, Keita Kishi1
1Department of Plastic and Reconstructive Surgery, Jikei University School of Medicine, Tokyo, Japan.
Journal of reconstructive microsurgery
|March 11, 2025
概括
血管化骨肌皮 (VFOF) 是有效的中脸重建. 性别和缺陷分类等因素会影响VFOF的成功,而糖尿病会增加晚期并发症的风险.
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.
- 口腔和牙面部外科手术
背景情况:
- 中面重建需要注意功能和美学结果.
- 血管化骨肌皮 (VFOF) 为复杂的中脸缺陷提供了一个可行的选择.
研究的目的:
- 在中脸重建中识别血管化骨肌皮 (VFOF) 失败的原因.
- 分析影响VFOF成功的预后因素,并确定晚期并发症的风险因素.
主要方法:
- 以VFOF进行中脸缺陷重建的62名患者的回顾性评估 (2011年8月 - 2022年5月).
- 主要结果:VFOF在30天内损失. 二次结局:晚期并发症 (手术后≥6个月).
- 对预后因素的分析,包括性别,缺陷分类 (布朗和肖),以及糖尿病等并发症.
主要成果:
- 在10名 (16.1%) 患者中发生了VFOF衰竭. 性别和上布朗和肖分类是失败的重要预后因素.
- 在47名随访患者中,有11名 (23.4%) 患者出现晚期并发症.
- 糖尿病是晚期并发症的重要危险因素 (p < 0.01).
结论:
- 血管化骨肌皮 (VFOF) 是中脸重建的一个合适的技术.
- 关键的外科考虑包括最佳的骨位,脚管理,无张力解剖,以及对大缺陷进行适当的片选择.
- 勤奋的术后护理,特别是鼻腔护理,对于成功的结果至关重要.
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