双边环状体保护甲软骨收获:对经典程序的新视角
Lehao Wu1, Huan Wang, Yang Guojun
1Department of Plastic Surgery, Plastic Surgery Hospital and Institute, Chinese Academy of Medical Sciences and Peking Union Medical College.
The Journal of craniofacial surgery
|August 7, 2025
概括
这项研究引入了一种用于收获耳膜软骨的新技术,在两侧保存周周. 这种方法提高了组织完整性和结构平衡,尽管增加了手术时间.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 整形外科 整形外科 整形外科
- 再生医学是一种再生医学.
背景情况:
- 标准的状软骨采集涉及前侧的子周周体解剖和后侧的周周体水平.
- 之前的研究表明,保存周周体有好处,但这并没有挑战标准的外科手术技术.
研究的目的:
- 介绍和评估一种用于收获耳膜软骨的新技术,该技术可以保存双边周周.
主要方法:
- 这是一项前性研究,涉及20名患者 (年龄在18至33岁),这些患者接受了双边周周节保存的状软骨收获.
- 后续收集并分析了并发症.
主要成果:
- 双边周心膜保存技术的平均操作时间为37.6±4.1分钟.
- 甲软骨的大小从3.1×2.4到1.8×1.5厘米不等.
- 发生了一例轻微的皮肤穿孔,随着立即修复而消失.
结论:
- 双边周心膜保护技术虽然在技术上要求很高,耗时很长,但它提供了卓越的组织完整性和结构平衡.
- 建议对这种形移植收获方法进行进一步的长期验证.
相关概念视频
Bone Structure
Within the skeletal system, the structure of a bone, or osseous tissue, can be exemplified in a long bone, like the femur, where there are two types of osseous tissue: cortical and cancellous.
Bone Remodeling
Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
Gross Anatomy of Bone
The two main features of a long bone are the diaphysis and the epiphysis.
The diaphysis is the tubular shaft that runs between the proximal and distal ends of the bone. The walls of the diaphysis are composed of dense and hard compact bone made of numerous osteons — the functional unit of the compact bone. The hollow region in the diaphysis is called the medullary cavity, which harbors the bone marrow. In infants and children, this marrow cavity is filled with red marrow, whereas in adults, it...
The diaphysis is the tubular shaft that runs between the proximal and distal ends of the bone. The walls of the diaphysis are composed of dense and hard compact bone made of numerous osteons — the functional unit of the compact bone. The hollow region in the diaphysis is called the medullary cavity, which harbors the bone marrow. In infants and children, this marrow cavity is filled with red marrow, whereas in adults, it...
Compact Bone
Most bones contain compact and spongy osseous tissue, but their distribution and concentration vary based on the bone's overall function.
Compact bone, also called cortical bone, is the denser, stronger of the two types of bone tissue. It is found under the periosteum and in the diaphyses of long bones, where it provides support and protection. The microscopic structural unit of compact bone is called an osteon, or haversian system. Each osteon is composed of concentric rings of calcified...
Compact bone, also called cortical bone, is the denser, stronger of the two types of bone tissue. It is found under the periosteum and in the diaphyses of long bones, where it provides support and protection. The microscopic structural unit of compact bone is called an osteon, or haversian system. Each osteon is composed of concentric rings of calcified...
Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Bone Remodeling and Repair
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during bone...


