我怎么做：改良的手术技术为MR条件OSIA 3：前基皮瓣覆盖种植体。

IF 1.9 3区医学 Q2 OTORHINOLARYNGOLOGY

European Archives of Oto-Rhino-Laryngology Pub Date : 2025-05-01 Epub Date: 2025-01-19 DOI:10.1007/s00405-025-09202-5

Ioana T Brill, Stefan Dazert

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引用次数: 0

摘要

背景：新的OSIA3是1.5 T和3t MR-Conditional。皮肤相关问题是最常见的并发症。在进行MRI时，植入物暴露在磁性扭矩力下，从而在切口线上产生更大的张力。方法：我们提出了一种改良的外科技术，逐步植入OSI300。我们更倾向于采用前基肌骨膜瓣覆盖种植体，作为手术的一个组成部分。结论：前基肌骨膜瓣和三层缝合似乎是一种安全的方法，不允许直接在种植体上施加皮肤张力，并且可能有助于防止种植体挤压，特别是对于新的OSI300。

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How I do it: Modified operation technique for MR Conditional OSIA 3: anterior based flap for covering the implant.

Background: The new OSIA3 is 1.5 T and 3 T MR-Conditional. Skin related issues are the most common complications. Performing MRI, the implant is exposed to magnetic torque forces, thus creating more tension over the incision lines.

Methods: We present a modified surgical technique for implanting OSI300 step-by-step. We prefer an anterior based muscle-periosteal flap to cover the implant as an integral part of the procedure.

Conclusion: The anterior based muscle-periosteal flap and performing a 3-layer-suture appears to be a safe method that does not permit skin-tension directly over the implant and may help preventing implant extrusion especially with the new OSI300.

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来源期刊

European Archives of Oto-Rhino-Laryngology 医学-耳鼻喉科学

CiteScore

5.30

自引率

7.70%

发文量

537

审稿时长

2-4 weeks

期刊介绍： Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.