下唇和下下巴整体移植在一个孩子在一个床事故后:救援手术的案例报告与密集的血栓治疗
V Sounthakith1, A Schweitzer-Chaput2, A Picard1
1Department of maxillofacial surgery and plastic surgery, Necker - Enfants malades Hospital, AP-HP, Paris, France; Paris Cité University, Paris, France.
Journal of stomatology, oral and maxillofacial surgery
|January 9, 2026
概括
本案例研究详细介绍了一名儿童的部分下唇和下巴移植,强调了血治疗在静脉排水和挽救重建手术中的关键作用. 结果包括微整形,强调了对微手术专业知识的需求.
科学领域:
- 小儿微手术 小儿微手术
- 重建性手术是一种重建性手术.
- 创伤管理 创伤管理
背景情况:
- 儿童的口唇截肢很少见,但需要紧急的微手术干预.
- 截肢的唇部和下巴部位的再植入带来了重大挑战,特别是关于静脉排水的问题.
研究的目的:
- 报告儿童床事故后部分下唇和下巴移植的情况.
- 讨论这种伤害的微手术治疗方法,包括使用水疗法和重建技术.
主要方法:
- 成功的下唇动脉解剖为动脉流入.
- 用于静脉排水,由于不可实现的静脉解.
- 使用联合卡拉潘兹基和卡米尔·伯纳德片进行重建,并补充了中等疗法和纳米脂肪注射.
主要成果:
- 重植的嘴唇和下巴部分的部分存活得到了实现.
- 显著的组织损失 (75%的嘴唇,25%的下巴) 发生在手术后的第14天,尽管动脉修订.
- 最终结果的特点是残留的微静止.
结论:
- 在儿科病例中,部分唇部和下巴移植需要专门的微手术技能,并且通常依赖于附加疗法,如水疗法.
- 当再移植仅部分成功时,涉及局部片或自由组织移植的重建策略至关重要.
- 与重症治疗专家的密切合作和获得水疗法对于管理这些复杂的儿科创伤病例至关重要.
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