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向侧高带拉塔自由对象带自由对于下骨放射性缩

Conrad K Blunck¹, Alexander Havens², Michael A Fritz¹

¹Department of Otolaryngology - Head and Neck Surgery, Cleveland Clinic Head and Neck Institute, Cleveland, Ohio, USA.

The Laryngoscope

|February 9, 2026

概括

腿部前侧带宽 (ALTFL) 片是治疗晚期下骨质放射性瘤 (MORN) 的优越选择,与片自由片 (FFF) 重建相比,可减少手术时间和更短的住院时间.

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
在瘤学瘤学.

背景情况:

对下骨质放射性瘤 (MORN) 的标准治疗方法已为表面和全厚疾病建立.
对于晚期,部分厚度的MORN.缺乏治疗共识.
腿前侧侧膜 (ALTFL) 已经成为MORN.的潜在"救援"选项.

研究的目的:

为了比较ALTFL重建的结果,并发症和术后后勤,与晚期MORN的骨自由 (FFF) 相比.
在可能考虑FFF的情况下,评估ALTFL作为重建选项的有效性.

主要方法:

在2008年至2024年期间,对接受ALTFL或FFF用于MORN的患者进行了回顾性图表审查.
分析患者人口统计,MORN等级,手术时间,住院时间,并发症和功能结果.
对于III级和IV级的早晨,ALTFL和FFF组之间的结果比较.

主要成果:

与FFF患者相比,ALTFL患者年龄较大,但与FFF患者相比,他们有类似的手术前MORN治疗和风险因素.
对于ALTFL的中位数操作时间在III级和IV级MORN中明显低于FFF.
对于ALTFL的住院时间明显比FFF更短,对于III级和IV级的MORN,并发症,片失效和MORN解决率相似.
气管切除术在FFF患者中更频繁,患有III级MORN.
在手术后,ALTFL患者更有可能恢复超出软度的饮食.

结论:

与FFF相比,ALTFL可以降低发病率和改善资源配置,用于高级,部分厚度的MORN.
ALTFL提供了与FFF相似的MORN解决结果,在操作时间和住院时间方面具有显著的优势.
ALTFL代表了一种有价值的重建替代方案,用于管理复杂的MORN案例.

关键词:

前侧大腿救援.下巴重建下巴重建微血管重建微血管重建骨质放射性衰老 (osteoradionecrosis) 是一种严重的疾病.

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