【文献解读】即刻髂骨移植重建良性下颌病变的侵蚀后缺损 - 系统综述
2017/10/27 创新医学网

    

    

     文章来源:欧尔意 OAE 微信号

     作者 :sofina

    

     原文出处

     Ogundipe OK, Gbolahan OO. Immediate iliac bone graft reconstruction of post ablative defect of benign mandibular pathology - a systematic review. Plast Aesthet Res 2017;4:137-43.

     DOI:10.20517/2347-9264.2017.41

     摘要

     目的:自体髂嵴骨移植经常用于立即重建良性下颌骨病变的侵蚀后缺损。本研究的目的是对这一技术相关的并发症发生率及失败率、导致失败的相关因素进行系统性的文献回顾。方法:在PubMed和Cochrane数据库的进行原始文献检索,初步获得915篇文章。结果:其中7项纳入最终审查,大部分研究是追溯性的。这些文章包括127例非血管化髂嵴移植手术; 并发症发生率为13.3%,失败率为3.1%,绝大多数并发症并未导致失败。所有失败都是由非手术失败主要因素相关的感染造成。 结论:使用非血管化的髂嵴骨移植进行即刻下颌重建,似乎与仔细筛选的病例中低并发症发生率和手术失败率有关。

     关键词:良性病变,下颌骨重建,骨移植,髂嵴,非血管化,即刻重建

     Aim: Autogenous iliac crest bone graft is frequently used in immediate reconstruction of post ablation defect of benign mandibular pathologies. The aim of this study was to conduct a systematic literature review on the complication and failure rates with this technique and factors associated with failure. Methods: The initial literature search in PubMed and Cochrane databases identified 915 articles. Results: Of these, 7 were included in the final review. The majority of the studies were retrospective in nature. These articles encompassed 127 procedures with non-vascularized iliac crest bone graft; with complication rate of 13.3% and failure rate of 3.1%, most complications did not result in failure. All failures were due to infection with no main factor associated with failure. Conclusion: Use of non-vascularized iliac crest bone graft for immediate mandibular reconstruction appears to be associated with low complication and failure rates in carefully selected cases.

     Keywords: Benign pathology, mandibular reconstruction, bone graft, iliac crest, non-vascularized, immediate reconstruction

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     本文摘要由北京协和医学院中国医学科学院整形外科医院颌面整形外科中心,数字化模拟中心杨斌教授团队陈丽丹博士翻译提供,中文内容仅供参考,一切以英文原版为主。

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