一天的:流程改进和结果
Cristina Benites1, Christian E Davila2, Dustin J Conrad1
1Department of Otolaryngology - Head & Neck Surgery, University of Florida College of Medicine, Gainesville, Florida, USA.
概括
一天一下下重建为缺陷提供了一种可行的方法,实现了高翻盖和植入物存活率. 两名外科医生的工作流程显著提高了操作效率.
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:
- 部重建是复杂的,需要功能和瘤恢复.
- "一天之内"的方法旨在简化这一过程.
- 评估机构经验对于完善外科模型至关重要.
研究的目的:
- 描述 Jaw-in-a-Day重建的机构经验.
- 评估功能,瘤和手术结果.
- 评估一种有效和可重复的模型,用于良性和恶性病例.
主要方法:
- 33名患者进行一次性下巴重建的回顾性病例系列 (2023年1月至2024年1月).
- 包括骨或肩膀自由重建,立即植入牙和临时假肢.
- 基于假肢捕获方法和团队组成 (单 vs 两位外科医生) 的结果进行比较.
主要成果:
- 33名患者 (20名恶性,13名良性/创伤性) 接受了重建;所有片都存活了下来.
- 植入物存活率为97%.植入物存活率为97%.
- 一个两位外科医生的方法显著减少了4小时24分钟的手术时间和2小时的假牙时间.
结论:
- "每天一次的下巴"是良性和恶性下巴重建的可行方法.
- 观察到高的片和植入物存活率.
- 过程的改进,特别是两名外科医生的工作流,提高了效率.
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