带血管髂骨游离瓣重建下颌骨的学习曲线：累积和分析。

IF 2.2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of oral and maxillofacial surgery Pub Date : 2024-12-24 DOI:10.1016/j.ijom.2024.12.003

B. Zeng , H. Lin , W. Deng , R. Zhou , T. Wu , B. Liu

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引用次数: 0

摘要

由于下颌骨的功能和结构的复杂性，下颌骨缺损的修复具有挑战性。本研究的目的是评估由单个外科医生使用带血管髂骨游离瓣（ICFF）进行下颌重建的学习曲线。本回顾性研究采用累积和（CUSUM）方法分析了2013年至2022年间60例下颌ICFF重建手术患者的手术次数。结果表明，学习曲线根据转折点可分为两个阶段：第一阶段包括病例1-17，第二阶段包括病例18-60。1期手术时间和住院时间明显长于2期，两期皮瓣失败率及随访结果无显著差异。综上所述，下颌ICFF重建的学习曲线在大约17例后稳定下来。

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Learning curve in mandibular reconstruction with vascularized iliac crest free flap: a cumulative sum analysis

The repair of mandibular defects is challenging due to the functional and structural complexity of the mandible. The aim of this study was to evaluate the learning curve of mandibular reconstruction using a vascularized iliac crest free flap (ICFF) performed by a single surgeon. This retrospective study used the cumulative sum (CUSUM) method to analyse the operation times of 60 patients who underwent mandibular reconstruction surgery with an ICFF between 2013 and 2022. The results showed that the learning curve could be divided into two phases according to the turning point: phase 1 comprised cases 1–17 and phase 2 comprised cases 18–60. The operation time and length of hospital stay were significantly longer in phase 1 than in phase 2, while there was no significant difference in the flap failure rate or follow-up outcomes between the two phases. In summary, the learning curve of mandibular reconstruction with an ICFF stabilized after approximately 17 cases.

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来源期刊

International journal of oral and maxillofacial surgery 医学-外科

CiteScore

5.10

自引率

4.20%

发文量

318

审稿时长

78 days

期刊介绍： The International Journal of Oral & Maxillofacial Surgery is one of the leading journals in oral and maxillofacial surgery in the world. The Journal publishes papers of the highest scientific merit and widest possible scope on work in oral and maxillofacial surgery and supporting specialties. The Journal is divided into sections, ensuring every aspect of oral and maxillofacial surgery is covered fully through a range of invited review articles, leading clinical and research articles, technical notes, abstracts, case reports and others. The sections include: • Congenital and craniofacial deformities • Orthognathic Surgery/Aesthetic facial surgery • Trauma • TMJ disorders • Head and neck oncology • Reconstructive surgery • Implantology/Dentoalveolar surgery • Clinical Pathology • Oral Medicine • Research and emerging technologies.