使用动态自由设计的功能性舌头重建的系统审查和元分析
O V Hovav1,2, D S Sparks1,2,3, G Velli2
1Department of Plastic and Reconstructive Surgery, Gold Coast University Hospital, Southport, Australia.
Microsurgery
|December 16, 2025
概括
在舌癌手术后的患者中,动态自由片显著改善了言语和吞能力. 这种重建技术增强了功能恢复,为接受光切除术的患者提供了更好的生活质量.
科学领域:
- 头部和部手术 头部和部手术
- 重建性手术是一种重建性手术.
- 在瘤学瘤学.
背景情况:
- 舌头癌症的治疗往往导致说话,吞和食的显著缺陷,影响患者的生活质量.
- 自由组织转移是重建大舌头缺陷的主要方法,旨在恢复功能并保护呼吸道.
- 对于广泛的光切除缺陷的动态自由片与运动再内核的有效性需要进一步评估.
研究的目的:
- 系统地审查和评估在切除舌头手术后进行动态自由重建的患者的言语和吞结果.
- 评估动态自由设计在功能性舌头重建中的作用.
主要方法:
- 从1980年开始对英语语言研究进行了系统审查,使用了MEDLINE,EMBASE,Cochrane图书馆和谷歌学者.
- 搜索术语包括"光切除术"",功能重建"和相关结果.
- 主要结局是片妥协,吞能力和语音可理解性,对聚合的比较数据进行了元分析.
主要成果:
- 分析了13项涉及168个内接式片的研究,显示了低片失效率 (1.2%).
- 平均结果包括80.2%的合格吞和91.7%的满意演讲,平均随访时间为21.8个月.
- 与静态设计相比,动态自由板在吞能力上显著改善 (OR = 4.09,p < 0.01).
结论:
- 动态自由重建似乎增强了舌头手术后的功能恢复.
- 有证据表明,在术后期间,对吞和言语结果都有潜在的益处.
相关概念视频
Frames
Frames are essential components of various mechanical and structural systems used daily. These structures are known for their stability and ability to bear heavy loads. A frame is constructed using two-force and multi-force members, interconnected using pin joints. In contrast, trusses are made entirely of two-force members.
Frames are versatile and widely used in various applications such as structural supports for beams and columns, automobile chassis construction, and in the construction...
Frames are versatile and widely used in various applications such as structural supports for beams and columns, automobile chassis construction, and in the construction...
Mass Analyzers: Overview
The mass analyzer is a crucial component of the mass spectrometer. In the ionization chamber, the vaporized sample is bombarded with a high-energy electron beam to generate a radical cation and further fragment into neutral molecules, radicals, and cations. A series of negatively charged accelerator plates accelerate the cations into the mass analyzer. The mass analyzer separates ions according to their mass-to-charge (m/z) ratios and then directs them to the detector. The common types of mass...
Indeterminate Structure
Indeterminate structures refer to structures where internal forces and reactions cannot be determined using only the equations of static equilibrium. Indeterminate structures have more unknown forces and reaction forces than equations of static equilibrium that can be used to determine them. Indeterminate structures are often used in engineering to create complex, efficient, and aesthetically pleasing structures. There are various types of indeterminate structures used in engineering and some...
Stability of structures
In mechanical engineering, the stability of systems under various forces is critical for designing durable and efficient structures. One fundamental way to explore these concepts is by analyzing systems like two rods connected at a pivot point, O, with a torsional spring of spring constant k at the pivot point. This system is similar in appearance to a scissor jack used to change tires on a car. In this case, the arms of the linkage (equivalent to the rods in this system) are entirely vertical,...
Dynamic Modulus of Elasticity of Concrete
The dynamic modulus of elasticity assesses how a concrete structure deforms under impact or dynamic loads. It is typically higher than the static modulus of elasticity, measured under slow, steady loading conditions.
The sonic test is a common method to determine the dynamic modulus. In this test, a concrete beam, sized either 6 x 6 x 30 inches or 4 x 4 x 20 inches, is clamped at its center. Vibrations are initiated at one end of the beam by an electromagnetic exciter unit powered by a...
The sonic test is a common method to determine the dynamic modulus. In this test, a concrete beam, sized either 6 x 6 x 30 inches or 4 x 4 x 20 inches, is clamped at its center. Vibrations are initiated at one end of the beam by an electromagnetic exciter unit powered by a...
Manipulation and Analysis
GIS manipulation and analysis functions are vital for decision-making and planning. These activities range from data retrieval tasks, such as selecting information based on specific criteria, to advanced analytical techniques that address complex spatial problems.One critical GIS analysis method is overlaying, which combines multiple data layers to examine impacts. For example, overlaying a river-dammed lake boundary with road networks can identify affected infrastructure. Another common...


