全骨链重建:自主材料比TORP更好吗?
Nicholas S Andresen1,2, Filip Kostadinov2, Christoph Schlegel2
1Department of Otolaryngology-Head and Neck Surgery, The Ohio State University, Columbus, OH.
概括
使用全骨置换假肢 (TORP) 进行全骨链重建显示,听力结果比自身移植更好. 然而,TORP可能存在风险,对特定患者来说,自身软骨是一种可行的选择.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 听力学 听力学是指听力学.
- 在重建性手术中的生物材料.
背景情况:
- 全骨链重建是恢复听力的一种手术程序.
- 通常使用的材料包括自身软骨,自身骨和全骨置换假肢 (TORP).
- 这些重建方法之间的听力结果的比较尚未得到充分证实.
研究的目的:
- 为了比较全骨链重建后的听力结果,使用自材料与TORP相比.
- 为了确定影响听力结果的因素,在骨重建中.
主要方法:
- 查询了接受全骨链重建的患者的潜在数据库.
- 术前和术后的气骨间隙 (ABG) 在TORP和自身移植组之间进行了比较.
- 多变量分析评估了修复手术,运河壁下降手术,胆固醇瘤,粘膜病理和肺炎的影响.
主要成果:
- 与自身移植相比,TORP重建导致空气骨间隙 (ABG) 的改善明显更好.
- 胆固醇瘤和中耳粘膜病理与较差的ABG改善有关.
- 自主骨移植在28.6%的病例中显示出融合,TORP挤出发生在2.7%的病例中.
结论:
- 整体骨置换假肢 (TORP) 与自身移植相比,可以为整体骨链重建提供更好的听力结果.
- 患有胆固醇瘤和中耳粘膜病理的患者经历的听力结果不那么有利.
- 在高风险的耳朵或当假肢挤出是一个问题时,自身软骨是一种合理的替代方案.
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