"鼻唇":在患有唇腔和口腔腔瘤的患者中,为口腔缺陷重建提供了一种多功能解决方案
Dillip Kumar Samal1, Vinusree Karakkandy1, Pradipta K Parida1
1Department of Otorhinolaryngology, AIIMS, Academic Block, Room No. 413, Bhubaneswar, 751019 India.
概括
鼻叶片提供了一个可行的替代方案,用于在癌症手术后重建口腔缺陷. 这些修改后的片提供了良好的化品和功能结果,在选定的患者中提供了最小的捐赠部位问题.
科学领域:
- 口腔和牙面部外科手术
- 整形和重建手术 整形和重建手术
- 在瘤学瘤学.
背景情况:
- 在口腔癌切除后重建耳缺陷存在重大挑战.
- 自由板通常使用,但区域板,如鼻唇板,为各种口腔缺陷提供了替代方案.
研究的目的:
- 描述鼻叶片的创新和修改,用于重建各种口腔子部位.
- 评估口腔恶性瘤患者的鼻叶片重建的结果和并发症.
主要方法:
- 在57名患有唇部和口腔恶性瘤的患者中,对58例鼻叶片重建的回顾性评估.
- 患者接受了瘤切除,包括或不包括下切除和宫淋巴结解剖.
- 在单阶段或两阶段的程序中,使用鼻叶片关闭缺陷.
主要成果:
- 鼻皮被用来修复口腔粘膜,牙口腔,嘴唇,舌头,逆口三角管,上膜和硬 palates 的缺陷.
- 整体片存活率很高,只有三例部分或完全失去片.
- 捐赠部位的发病率是最小的,有四例需要眼科医生干预的ectropion.
结论:
- 修改后的鼻叶片可以有效地重建大多数口腔缺陷.
- 这些板提供了有利的美学和功能成果,作为一个有价值的替代选择小到中等缺陷的免费板.
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