现代肿瘤学上颌骨重建。
Modern Oncologic Maxillary Reconstruction.
发表日期:2024 Sep 01
作者:
Edwin J Morrison, Evan Matros
来源:
PLASTIC AND RECONSTRUCTIVE SURGERY
摘要:
学习完本文后,参与者应该能够: (1) 对涉及上颌骨的癌症相关的肿瘤学原理有广泛的了解。 (2) 从解剖学角度定义上颌骨切除缺损的各种类型及其相关发病率。 (3)了解上颌骨重建的目标和原则。 (4) 展示对各种类型上颌骨切除缺损的优点、局限性和替代重建方案的了解。癌症切除后上颌骨的重建在过去十年中不断发展。在虚拟手术技术进步和对牙科康复的日益关注的支持下,使用游离骨瓣的更复杂的工作流程已经变得更加普遍。身体中很少有重建需要恢复同样复杂的骨骼和软组织关系,对形态和功能都有影响,比如上颌骨。成功需要对缺损进行仔细的解剖学定义,了解重建的目标和原则,以及了解各种重建方案的相对优势和局限性。同样,由于没有一种技术是没有缺点的,并且上颌手术可能与显着的并发症相关,因此将患者和肿瘤背景与重建相匹配也同样重要。本文旨在为读者提供对这些核心因素的广泛概述。版权所有 © 2024 美国整形外科医生协会。
After studying this article, the participant should be able to: (1) Have a broad understanding of the oncological principles relating to cancers involving the maxilla. (2) Define anatomically the various types of maxillectomy defects and their associated morbidity. (3) Understand the goals and principles of maxillary reconstruction. (4) Demonstrate an understanding of the strengths, limitations, and alternative reconstructive options for the various types of maxillectomy defects.Reconstruction of the maxilla following cancer resection has evolved over the past decade. Underpinned by advances in virtual surgery technology and an increased focus on dental rehabilitation, more sophisticated workflows using free bone flaps have become more commonplace. There are few reconstructions anywhere in the body that require the restoration of similarly intricate bone and soft-tissue relations with implications for both form and function, like the maxilla. Success demands careful anatomical definition of the defect, an understanding of the goals and principles of reconstruction, and the understanding of relative strengths and limitations of the various reconstructive options. Equally, as no one technique is without shortcomings and maxillary surgery can be associated with a significant complication profile, it is just as important to match the patient and oncologic context to the reconstruction. This article is intended to provide the reader with a broad overview of these core factors.Copyright © 2024 by the American Society of Plastic Surgeons.