使用一种新型的PLA可再吸收膜来重建侧面舌头缺陷 - 一份试点报告
Dorothee Rickert1, Helmut Steinhart1, Ulrich Hay1
1ENT department - MarienHospital, Stuttgart, Germany.
概括
一种新型的多聚胺膜 (PLM) 为癌症手术后舌头重建提供了一个有前途的解决方案. 这种创新材料简化了手术,减少了住院时间,并促进了更快的愈合和更少的疼痛.
科学领域:
- 手术创新 在外科创新.
- 生物材料科学 生物材料科学
- 在瘤学瘤学.
背景情况:
- 舌头重建是复杂的,通常需要微血管手术,患病率高.
- 目前的研究重点是新材料,以简化程序,减少患者的康复时间.
- 瘤后的侧面舌头缺陷是一个重要的重建性挑战.
研究的目的:
- 评估使用新型聚胺膜 (PLM) 进行侧面舌头重建的可行性.
- 评估PLM在接受舌头瘤切除的患者的安全性和有效性.
- 探索PLM作为传统重建方法的更简单的替代方案.
主要方法:
- 七名患有侧面舌头缺陷的患者在瘤切除后使用PLM进行了重建.
- PLM用可吸收的 sutures 确保,患者住院平均5天.
- 通过治疗的摄影记录,疼痛评分和语音和舌头运动的功能评估来评估结果.
主要成果:
- 在这7名患者中没有观察到术后并发症.
- 术后第二天实现了完全口语化,第五天实现了可理解的言语.
- 患者报告疼痛水平较低,没有出血;在PLM安置之前,在3例情况下成功进行了清晰边缘的二次手术.
结论:
- 聚酸膜 (PLM) 是一种可行的替代方案,用于舌头和粘膜的重建.
- 膜的再吸收开始于术后的第二天,促进颗粒和增强愈合.
- 在瘤后的舌头重建中,PLM有助于减少疼痛和改善功能恢复.
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