面部动脉肌膜与口腔膜膜用于二次口腔裂纹修复
Percy Rossell-Perry1,2, Arquimedes Gavino-Gutierrez3,1
1Health of Science Faculty School of Human Medicine Peruvian University Union (UpeU), Lima, Peru.
The Journal of craniofacial surgery
|September 5, 2025
概括
面部动脉肌膜 (FAMM) 与二次口腔裂修复的口腔肌膜相比,表达了较少的并发症,如膜缩和脱落.
科学领域:
- 整形外科
- 头外科手术
- 重建性手术
背景情况:
- palatal 是裂修复后的常见并发症.
- 区域片,包括面部动脉肌膜 (FAMM) 和口腔肌膜片,用于二次重建.
- 评估不同片的并发症率对于优化治疗结果至关重要.
研究的目的:
- 在二次口腔裂修复中,比较FAMM片与 buccinator myomucosal片的并发症率.
- 找出更安全的口腔重建.
主要方法:
- 在134名接受二次口腔裂修复的口腔裂患者中进行了回顾性结局研究.
- 在 FAMM 和 buccinator 肌粘膜组之间的结果比较.
- 至少6个月的随访,包括体检和多变量分析.
主要成果:
- 较低水平的FAMM片显示了与 buccinator 肌膜片相比,片死亡率和裂率的统计学上显著降低.
- 两组患者之间没有发现捐赠部位并发症的显著差异.
结论:
- 在二次口腔裂修复中,FAMM是比 buccinator myomucosal 更安全,更可靠的选择.
- 与之前的手术解剖相关的,可能会有较高的死率和裂率.
- 在 palatal 的重建中, FAMM 提供了更好的结果.
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