额头间插孔的早期取下:回顾性队列研究
Luke A Scherz1, Michael Renzi2, Tara Jennings1,3
1Cooper Center for Dermatologic Surgery, Division of Dermatology, Cooper University Health Care, Evesham, New Jersey.
概括
早期移除插入,如耳后和额头,是安全的. 这种方法比传统的3周早, 不会增加面部重建患者的并发症.
科学领域:
- 整形外科
- 重建性手术
- 面部重建
背景情况:
- 在复杂的面部缺陷修复过程中,
- 通常在手术后3周左右进行.
- 长时间的脚存在可能会对患者的舒适性和生活质量产生负面影响.
研究的目的:
- 评估早期 (< 21 天) 和常规 (≥ 21 天) 取下插入的安全性和结果.
- 为了比较早期和常规除组之间的并发症率和片特征.
- 评估额头后耳道,额头上耳道和额头上耳道的早期切除情况.
主要方法:
- 追溯的队列研究设计.
- 包括经过脑后,脑下或前额重建的患者.
- 患者的分层基于片取下时间 (早期与传统).
主要成果:
- 分析了三种类型的141名患者.
- 在早期和常规服用组中观察到较低的并发症率 (感染,脱,亡).
- 两组之间没有发现并发症率或/缺陷大小的显著差异.
结论:
- 在2周早期取下插入是安全的做法.
- 这种早期治疗方法没有增加手术并发症或不良结果.
- 在面部重建中改善患者的康复和生活质量.
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