外科医生在腭裂患者的腭瘘修复中使用何种游离皮瓣?系统回顾。

IF 1.1 4区 医学 Q2 Dentistry
Eugene E Zheng, Lauren Gates-Tanzer, Sai Cherukuri, Samir Mardini, M Hassan Murad, Uldis Bite, Waleed Gibreel
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引用次数: 0

摘要

目的:有腭裂病史的患者出现顽固性腭瘘时,有时需要进行游离皮瓣重建。本研究回顾了有关所述皮瓣和结果的文献:设计:根据《系统综述和元分析首选报告项目》指南进行系统综述:纳入所有研究设计。排除非英语文章:患者和参与者:有腭裂病史并因口瘘接受游离皮瓣重建术的患者:干预措施:游离组织转移用于腭瘘修复:对有关缺损和皮瓣特征的信息进行回顾。结果:我们搜索到了894篇文章,其中有894篇是关于腭瘘的:结果:我们检索到 894 篇文章,其中 23 篇被收录。所有研究均为回顾性系列病例和报告。共描述了 65 例患者,平均年龄为 19.3 岁(3-55 岁不等),瘘管中位大小为 8.00 平方厘米(2.54-24 平方厘米不等)。最常见的皮瓣是桡侧前臂皮瓣(37 例)。九名患者(13.8%)的瘘管复发,所有患者都返回手术室进行了手术翻修。有两例皮瓣部分脱落,没有皮瓣全部脱落。在10项研究中,有27名患者的言语能力得到改善:采用游离组织移植修复腭瘘是安全的,风险可接受,皮瓣脱落率低。由于部分皮瓣坏死和开裂导致的早期复发可通过皮瓣再植成功解决。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
What Free Flaps Are Surgeons Using for Palatal Fistula Repair in Patients with Cleft Palate? A Systematic Review.

Objective: Recalcitrant palatal fistulas in patients with cleft palate history sometimes require free flap reconstruction. This study reviews the literature on described flaps and outcomes.

Design: A systematic review was conducted per the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines.

Setting: All study designs were included. Non-English articles were excluded.

Patients and participants: Patients with a history of cleft palate who underwent free flap reconstruction for a oronasal fistula.

Interventions: Free tissue transfer for a palatal fistula repair.

Main outcomee measures: Information regarding defect and flap characteristics were reviewed. Surgical outcomes such as flap loss rates, rates of recurrent fistula formation, and speech outcomes were also obtained.

Results: Our search returned 894 articles, of which 23 were included. All studies were retrospective case series and reports. A total of 65 patients were described with an average age of 19.3 (range 3-55) years and a median fistula size of 8.00 cm2 (range 2.54 cm2 - 24 cm2). The most common flap was the radial forearm flap (n = 37). Nine patients (13.8%) had recurrent fistula formation with surgical revision successful in all cases in which the patient returned to the operating room. There were two partial flap losses and no total flap losses. Speech outcomes showed improvement in 27 patients across 10 studies.

Conclusions: Palatal fistula repair with free tissue transfer is safe with an acceptable risk profile and low flap loss rate. Early recurrence due to partial flap necrosis and dehiscence are successfully managed with flap readvancement.

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来源期刊
Cleft Palate-Craniofacial Journal
Cleft Palate-Craniofacial Journal DENTISTRY, ORAL SURGERY & MEDICINE-SURGERY
CiteScore
2.20
自引率
36.40%
发文量
0
审稿时长
4-8 weeks
期刊介绍: The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.
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