在头部和部重建中自由体积演变的预测因素
Quentin Hennocq1,2, Jean-Baptiste Caruhel3, Mourad Benassarou2
1Sorbonne University, Paris, France.
概括
可以预测头部和部重建中的自由体积变化. 静脉选择和微手术技术显著影响膜体积的演变,指导过度校正策略以获得更好的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 头部和部重建的重建
- 微手术 微手术是一种微手术.
背景情况:
- 自由板对于头部和部的重建至关重要.
- 预测和管理自由的体积变化对于成功的长期结果至关重要.
- 了解影响体积演变的因素,有助于手术规划.
研究的目的:
- 确定影响头部和部手术中使用的自由片总和骨体积变化的因素.
- 为了建立30个月的体积变化预测.
- 为不同类型的板提出适当的过度校正百分比.
主要方法:
- 未来研究包括从2021年8月到2024年1月的166个自由.
- 收集有关患者,手术和治疗因素的数据.
- 使用CT和MRI测量和骨体积;用多变量混合模型进行分析.
主要成果:
- 观察到体积损失,骨体积在30个月后减少了19-38%,这取决于片类型 (支柱体自由片,深环的阴动脉,骨系统自由片).
- 使用上部甲状腺或舌腔静脉和小合器的静脉解与负体积变化相关.
- 患者特征和辅助治疗对体积演变的影响小于手术技术.
结论:
- 推的过度校正约为60%的皮/骨皮和75%的肌肉/骨肌.
- 静脉选择和微手术技术是自由体积稳定性的关键决定因素.
- 这些发现支持根据片类型和手术方法量身定制的过度校正策略.
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