骨皮关节骨自由:复合缺陷重建的一个修改方法
Thadeu Fernandes Rangel1, Mustafa Saleh2, Youssef El Orra1
1Department of Plastic and Reconstructive Surgery, Hospital das Clínicas of the Faculty of Medicine of the University of São Paulo, São Paulo, SP, Brasil.
JPRAS open
|April 11, 2025
概括
这项研究提出了用于头部和部重建的修改的关节骨皮质自由,为避免下肢片的患者提供了可行的替代方案. 该技术成功地重建了下缺陷,具有良好的功能结果.
科学领域:
- 口腔和牙面部外科手术
- 整形外科 整形外科 整形外科
- 头部和部瘤学 头部和部瘤学
背景情况:
- 在口腔底部的腺囊性癌症呈现复杂的重建性挑战.
- 传统的重建方法可能涉及具有显著发病率的供体部位.
- 患者的偏好在选择重建技术方面起着至关重要的作用.
研究的目的:
- 提出一个修改的骨皮关节骨自由技术,用于下和口腔底部的重建.
- 评估使用内部乳腺动脉穿孔片的可行性和结果.
- 突出重建性手术中以患者为中心的护理的重要性.
主要方法:
- 一名67岁的男性患者患有持续性腺囊性癌症,接受了光口切除术和部剖析.
- 一个经过修改的关节骨皮质自由,利用内部乳腺动脉穿孔器,用于重建.
- 折叠板被收获,定位,骨头用2.4毫米的重建板稳定.
主要成果:
- 关节成功重建了下和口腔底部缺陷.
- 最初观察到轻微的静脉拥堵,在没有皮肤发病的情况下消失.
- 患者在术后没有报告任何功能或感官缺陷.
结论:
- 修改的关节骨皮质自由片为头部和部重建提供了有价值的替代方案.
- 使用局部穿孔可以最大限度地降低捐赠部位的发病率.
- 这种方法强调了定制重建策略以满足个体患者的需求和偏好的重要性.
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