大口缺陷的重建:单一的化学胸腔动脉与皮相比双自由
Xiao Tan1,2,3, Tao Rui1,2, Xianbei Zhu1,2
1Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital of Sun Yat-Sen University.
The Journal of craniofacial surgery
|August 22, 2025
概括
胸脊动脉与肩和背 (cTDAF-SLD) 提供了广泛的口缺陷重建的可靠解决方案. 这种折叠提供了与其他方法相比的功能和美学成果,同时显著降低了并发症和成本.
科学领域:
- 整形外科
- 口腔和面外科
- 重建性手术
背景情况:
- 重建广泛的复合缺陷,特别是需要骨和软组织的缺陷,
- 与肩膀和背大关节 (cTDAF-SLD) 结合的仿真胸大动脉被引入为大口缺陷的综合选择.
研究的目的:
- 评估cTDAF-SLD在口重建中的有效性和结果.
- 为了比较cTDAF-SLD与骨和前侧大腿 (SCFAF) 的同时组合.
主要方法:
- 一项涉及29名下侵袭性口腔癌患者的比较研究.
- 使用cTDAF- SLD (n=18) 或SCFAF (n=11) 进行重建.
- 评估结果包括术后变量,功能和美学结果 (VAS,UW-QOL) 和吞功能.
主要成果:
- 与SCFAF组相比,cTDAF- SLD组的手术时间,血液流失,住院时间,排水和成本显著减少 (P < 0. 05).
- 两组之间没有发现功能或美学结果的显著差异.
- 在SCFAF组中,接受者和供体部位的并发症发生率显著高 (P<0.05).
结论:
- 用肩进行的仿真TDAF是一种可靠且有效的方法,用于重建广泛的口缺陷.
- 它的功能和审美效果与同时使用的双自由相提并论.
- 这种技术在减少整体并发症方面具有显著优势.
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