在后下重建中状骨的管理:主要的临床和患者报告的结果
Janet C Coleman-Belin1, Kevin K Zhang1, Zack Cohen1
1Plastic and Reconstructive Surgery Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Journal of surgical oncology
|January 21, 2026
概括
在下重建中,状腺的保存提供了与状腺切除相比,面部外观和饮食功能的优异患者报告结果 (PROs). 保存和切除技术之间的临床结果没有显著差异.
科学领域:
- 口腔和牙面部外科手术
- 重建性手术是一种重建性手术.
- 在瘤学瘤学.
背景情况:
- 后下的瘤往往需要带状和软组织切除.
- 重建策略涉及囊的保存或切除,有或没有自移植.
研究的目的:
- 为了比较临床和患者报告的结局 (PROs) 在下重建中的节保护与切除.
- 评估在切除病例中状细胞自移植的影响.
主要方法:
- 对94名因后侧下缺陷而接受骨自由重建的患者进行了回顾性队列研究 (2017-2021).
- 临床结果:住院时间,随访时间,复发,死亡率.
- 使用FACE-Q头癌模块评估的PROs (整体,短期,长期).
主要成果:
- 队列之间的主要临床结果没有显著差异 (p > 0.439).
- 与形切除相比,形切除组报告了优异的整体面部外观,饮食功能,外观/面部困扰,饮食困扰和癌症担忧 (p < 0.035).
- 长期保护状细胞的好处更为明显,特别是在外观,功能和痛苦方面 (p < 0.035). 康迪尔自体移植并没有显著改善PROs.
结论:
- 在现场状体的保存导致患者报告的优异结果,特别是长期,与带有或没有自移植的状体切除相比.
- 手术技术的选择影响患者的生活质量,而不是主要的临床结果.
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