部重建后的硬件暴露:骨与软组织免费片比较
Hasan Abdulbaki1, Angeline A Truong1, Laura Chen1
1University of California-San Francisco, School of Medicine, San Francisco, California, USA.
The Laryngoscope
|January 24, 2026
概括
在下重建的微血管自由组织转移 (MFTT) 后对硬件的暴露是令人担忧的. 这项研究发现,片类型没有影响暴露风险,但辅助疗法显著增加了暴露风险.
科学领域:
- 口腔和牙面部外科手术
- 整形和重建手术 整形和重建手术
- 生物材料科学 生物材料科学
背景情况:
- 硬件暴露是下重建的微血管自由组织转移 (MFTT) 后的一个重要并发症.
- 骨皮质MFTT是首选的,但只有软组织的MFTT在必要时被使用.
- 仅有有限的数据可以比较这些MFTT方法之间的硬件暴露风险.
研究的目的:
- 为了比较骨皮和软组织MFTT之间硬件暴露的速度和时间,用于下重建.
- 确定影响MFTT患者硬件暴露风险的因素.
主要方法:
- 对178名因下缺陷而接受MFTT的患者的回顾性审查 (11/2011-6/2023).
- 主要暴露:片类型 (骨皮与软组织).
- 主要结果:硬件暴露的时间;次要结果:在1年和3年后的暴露率.
主要成果:
- 骨皮和软组织MFTT在1年或3年之间在硬件暴露时间上没有显著差异.
- 辅助辐射和/或化学辐射显著增加了1年 (HR 7.72) 和3年 (HR 3.68) 硬件暴露的危险.
- 在手术后1至3年间,对两种型的暴露率都增加了约10%.
结论:
- 片类型 (骨皮与软组织) 与下重建MFTT后硬件暴露时间的差异无关.
- 辅助疗法是硬件暴露的重要危险因素.
- 外科医生应考虑接受辅助治疗的患者暴露的风险增加.
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