富血小板血浆在口腔颌面外科中的应用:综合文献综述。

Luis Rodrigo Velasco Molina, Orisel Oliva Dimas, Karol Janice Estrada Mencias, Ronald Jonnathan Fuentes Jaramillo, Jessica Elizabeth Machado Parra
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引用次数: 0

摘要

富血小板血浆(PRP)是口腔颌面外科(OMFS)外科医生公认的常用治疗工具。我们决定讨论 PRP 和 OMFS 的历史演变、制备方法和生物机制、OMFS 应用,更确切地说,是 PRP 在 OMFS 中的疗效。PRP 起源于早期伤口愈合研究的探索,现在经过不断改进,已广泛应用于不同的医学专科。在 OMFS 中,PRP 是通过离心方法制备的,PRP 浓缩了血小板和其他重要的生长因子,这些生长因子对组织再生或改善骨密度和骨再生至关重要。临床应用范围广泛,从骨骼和软组织增量到颞下颌关节疾病和颌面部病理治疗。各种证据表明,PRP 有助于取得良好的效果,但研究人员和医生对 PRP 在促进骨再生方面的功效仍存在争议,这就需要进一步研究和全面验证。使用 PRP 的并发症很少见,但可能包括感染、神经损伤、组织钙化,在某些情况下甚至会导致失明。PRP 在 OMFS 中的应用前景广阔,可提供更多个性化疗法和标准化方案。通过使用 PRP 进行混合或联合治疗,将会有更多发现,并将扩大应用范围、技术进步和长期疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Platelet-Rich Plasma in Oral and Maxillofacial Surgery: A Comprehensive Literature Review.
Platelet-rich plasma (PRP) is well recognized and frequently used therapeutic tool for surgeons in oral and maxillofacial surgery (OMFS). It is become popular due to its regenerative potential of autologous blood components that enhance tissue repair while improving overall surgical outcomes. we decided to discuss historical evolution of PRP and OMFS, preparation methods and biological mechanisms, OMFS applications, more precisely, efficacy of PRP in OMFS. PRP was originated from early explorations in wound healing research and now it has made continuous refinement and is being used in widespread application across diverse medical specialities. In OMFS, PRP is prepared through centrifugation methods where PRP is concentrate platelets and other important growth factors that are essential for tissue regeneration, or improving bone density and regrowth. Clinical applications span from bone and soft tissue augmentation to the management of temporomandibular joint disorders and maxillofacial pathology. Various pieces of evidence promise promising outcomes, but the efficacy of PRP in enhancing bone regeneration remains debated among researchers and physicians, which necessitates further research and comprehensive validation. Complications of PRP administration are rare but may include infection, nerve damage, tissue calcification, or even blindness in some cases, which emphasizes careful patient selection and monitoring is evident. PRP future in OMFS is promising for more personalized therapies and standardized protocols. More discoveries will be made through mixed or combination treatments with PRP and it will expand applications, technological advancements, and efficacy in long-term outcome.
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