自由功能格拉西里斯的广泛初级稀释是安全的,并且不会影响动态微笑重建中的功能结果
David Chi1, Austin Y Ha1, Grace Keane1
1Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, Saint Louis, Missouri.
Journal of reconstructive microsurgery
|June 16, 2025
概括
在面部复苏手术期间,gracilis肌肉的初级稀释是安全有效的. 这种技术可以改善微笑对称性和外观,而不会损害肌肉功能,从而可能减少修复手术的需要.
科学领域:
- 整形外科 整形外科 整形外科
- 微手术 微手术是一种微手术.
- 面部复苏术是面部复苏的方法之一.
背景情况:
- 免费的功能性肌肉肌肉转移是长期面部的标准.
- 存在很高的修订率,通常用于片脱和轮改进.
- 初级稀释可能会减少修订,但可能会导致脚受伤或收缩能力减弱.
研究的目的:
- 为了测试初级gracilis片稀释是安全的,并且不会影响微笑收缩性的假设.
- 评估初级稀释对修订率和功能结果的影响.
主要方法:
- 在8年内,回顾了34项使用自由功能肌肉转移的面部复苏手术.
- 使用Emotrics面部表情识别软件对功能形态测量结果的评估.
- 记录到内化时间,二次手术和并发症.
主要成果:
- 平均稀释的Gracilis片重量为17.0 ± 9.3g.
- 微笑外观显著改善 (单边:7.7 ± 5.5mm;双边:5.7 ± 3.4mm) 和面部测量 (p<0.003).
- 只有一个患者需要进行二次脱皮;并发症很少 (1 片损失,3 部位出血/).
结论:
- 主要的gracilis片稀释是安全和有效的动态微笑重建.
- 这种技术不会增加并发症,也不会损害微笑对称性和外观.
- 与已公布的数据相比,初级稀释可能会减少对二次修复手术的需求.
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