上颌窦解剖植入与聚二恶酮片治疗眶底爆裂骨折的比较:回顾性队列研究。

IF 5 3区 医学 Q1 ENGINEERING, BIOMEDICAL
Benjamin Walch, Alexander Gaggl, Gian Battista Bottini, Johannes Hachleitner, Florian Huber, Hannes Römhild, Martin Geroldinger, Maximilian Götzinger
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引用次数: 0

摘要

背景:眶底爆裂性骨折(OFBF)可能对患者造成严重后果。选择正确的处理方法和材料至关重要。Krenkel氏上颌窦种植体在临床上已经成功应用了40多年。本研究的目的是评估该植入物与聚二氧环酮(PDS)片的长期效果。材料和方法:本回顾性研究对82例OFBF患者进行了为期7年的队列研究。收集临床和几何数据。通过常规计算机断层扫描(CT)或锥束计算机断层扫描(CBCT)测量缺损的大小、位置和疝出组织的体积。采用logistic回归分析眼科康复与治疗方式的关系。结果:研究纳入82例患者,女性28%,男性72%,中位年龄45.2岁。缺损大小和疝体积与术前眼科症状相关。随访时,植入组14.8%、PDS组28.6%出现轻度视力损害,无严重复视。结论:该方法是一种可靠、有效的睑缘缺损修复方法。然而,需要进一步的临床对照试验研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of Anatomical Maxillary Sinus Implant and Polydioxanone Sheets in Treatment of Orbital Floor Blowout Fractures: A Retrospective Cohort Study.

Background: Orbital floor blowout fractures (OFBF) can have serious consequences for the patient. Selecting the right treatment method and materials is essential. Krenkel's maxillary sinus implant has been used successfully for more than 40 years in clinical practice. The aim of this study was to evaluate the long-term outcome of this implant compared to polydioxanone (PDS) sheets.

Material and methods: This retrospective study examined a cohort of 82 OFBF patients over a seven-year period. Clinical and geometric data were collected. Defect size, location, and the volume of the herniated tissue were measured from conventional computer tomography (CT) or cone beam computer tomography (CBCT) scans. The relationship between ophthalmologic rehabilitation and treatment modality was analyzed using logistic regression.

Results: The study included 82 patients, 28% female and 72% male, with a median age of 45.2 years. Defect size and hernia volume correlated with preoperative ophthalmological symptoms. At follow-up, 14.8% in the implant group and 28.6% in the PDS group showed mild visual impairment, with no severe diplopia.

Conclusions: Our results suggest this method is a reliable and effective solution for repairing OFBFs and ophthalmologic rehabilitation. However, further research in a clinical controlled trial is needed.

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来源期刊
Journal of Functional Biomaterials
Journal of Functional Biomaterials Engineering-Biomedical Engineering
CiteScore
4.60
自引率
4.20%
发文量
226
审稿时长
11 weeks
期刊介绍: Journal of Functional Biomaterials (JFB, ISSN 2079-4983) is an international and interdisciplinary scientific journal that publishes regular research papers (articles), reviews and short communications about applications of materials for biomedical use. JFB covers subjects from chemistry, pharmacy, biology, physics over to engineering. The journal focuses on the preparation, performance and use of functional biomaterials in biomedical devices and their behaviour in physiological environments. Our aim is to encourage scientists to publish their results in as much detail as possible. Therefore, there is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced. Several topical special issues will be published. Scope: adhesion, adsorption, biocompatibility, biohybrid materials, bio-inert materials, biomaterials, biomedical devices, biomimetic materials, bone repair, cardiovascular devices, ceramics, composite materials, dental implants, dental materials, drug delivery systems, functional biopolymers, glasses, hyper branched polymers, molecularly imprinted polymers (MIPs), nanomedicine, nanoparticles, nanotechnology, natural materials, self-assembly smart materials, stimuli responsive materials, surface modification, tissue devices, tissue engineering, tissue-derived materials, urological devices.
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