个性化策略用于使用脚式板进行头部和部重建
Giuseppe Riva1, Andrea Canale1, Gian Marco Motatto1
1Division of Otorhinolaryngology, Department of Surgical Sciences, University of Turin, Via Genova 3, 10126 Turin, Italy.
Journal of personalized medicine
|February 26, 2026
概括
当自由板不适合时,脚式板是头部和部重建的可行选择. 这项研究发现,像胸部大一样,脚的片在被选中的患者中具有可接受的并发症率.
科学领域:
- 手术重建的手术重建.
- 头部和部手术 头部和部手术
- 整形外科 整形外科 整形外科
背景情况:
- 自由板是头部和部重建的标准.
- 免费片的禁忌包括晚年和并发症.
- 在特定患者群体中,脚式板提供了一个替代方案.
研究的目的:
- 评估使用脚式片的头重建策略.
- 分析与脚式板重建相关的并发症率.
- 为了评估在自由手术时代的脚式片的实用性.
主要方法:
- 观察性研究的患者经历了头部和部的重建用脚的片.
- 分析包括各种类型的片,如胸部大 (PMF),胸部上 (deltopectoral) 和面部动脉肌膜 (FAMM).
- 系统地记录患者的特征,片类型,受体部位和片相关并发症.
主要成果:
- 分析了112个脚的板,PMF最常见的是舌头/鼻重建.
- 在11.6%的患者中发生了部分死,在1.8%的患者中发生了完全死.
- 并发症包括伤口脱光 (12.5%), (6.3%),出血 (3.6%) 和狭窄 (0.9%).
结论:
- 重建策略的选择取决于缺陷位置和大小.
- 脚的板显示出较低的并发症率.
- 脚片仍然是一个有效的重建选择,选择头部和部患者.
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