<编者选择>游离网膜瓣和面神经重建侧颅底的远期疗效。

IF 0.9 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Nagoya Journal of Medical Science Pub Date : 2023-05-01 DOI:10.18999/nagjms.85.2.255
Miki Kambe, Kazunobu Hashikawa, Keisuke Takanari, Shunjiro Yagi, Kazuhiro Toriyama, Katsumi Ebisawa, Naoki Nishio, Takashi Maruo, Nobuaki Mukoyama, Yasushi Fujimoto, Masazumi Fujii, Kiyoshi Saito, Masakatsu Takahashi, Yuzuru Kamei
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引用次数: 0

摘要

在侧颅底重建中,需要对侧颅底缺损进行封闭,填补死区,有时还需要重建面神经。然而,这种方法很难用标准的肌皮瓣来完成。因此,对于此类病例,由于网膜瓣的灵活性,我们医院采用网膜瓣。在这项研究中,我们报告了我们的手术经验(游离网膜瓣重建外侧颅底)及其长期结果和面神经重建,特别关注面神经的恢复。这项研究是一项技术说明和回顾性审查。试验在名古屋大学医院进行。总的来说,16名患者(12名女性和4名男性);平均年龄:55.1岁)在2005-2017年期间接受了颞骨次全切除术或颞骨外侧切除术后的游离网膜瓣外侧颅底重建。主要观察指标为术后并发症和面神经恢复情况:Yanagihara评分和House-Brackmann评分系统。并发症包括部分坏死和少量脑脊液漏2例。术后12个月以上均可观察到面神经恢复,平均Yanagihara评分为19.6,House-Brackmann评分为3.60。游离网膜瓣是外侧颅底重建的可靠方法,尤其适用于面神经重建。据我们所知,这是关于侧颅底重建后面神经恢复的第一篇报道。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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<Editors' Choice> Long-term outcomes of lateral skull base reconstruction with a free omental flap and facial nerve reconstruction.

In lateral skull base reconstruction, it is necessary to seal the defect in the lateral skull base, fill the dead space, and, sometimes, reconstruct the facial nerve. However, this procedure is difficult to perform with a standard musculocutaneous flap. Therefore, for such cases, an omental flap is used in our hospital because of its flexibility. In this study, we report our experience with the procedure (lateral skull base reconstruction with a free omental flap) and its long-term outcome and facial nerve reconstruction, with special focus on facial nerve recovery. This study is a technical note and a retrospective review. It was conducted in Nagoya University Hospital. Overall, 16 patients (12 women and 4 men; mean age: 55.1 years) underwent lateral skull base reconstruction with a free omental flap after subtotal temporal bone resection or lateral temporal bone resection during 2005-2017. The main outcome measures were postoperative complications and facial nerve recovery: Yanagihara score and House-Brackmann grading system. Complications included partial necrosis and minor cerebrospinal fluid leakage in 2 patients. Facial nerve recovery could be observed more than 12 months after surgery, with a mean Yanagihara score of 19.6 and House-Brackmann grade of 3.60. The free omental flap is a reliable method for lateral skull base reconstruction, especially in cases where facial nerve reconstruction is needed. To the best of our knowledge, this is the first report on facial nerve recovery after lateral skull base reconstruction.

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来源期刊
Nagoya Journal of Medical Science
Nagoya Journal of Medical Science MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
1.30
自引率
0.00%
发文量
65
审稿时长
>12 weeks
期刊介绍: The Journal publishes original papers in the areas of medical science and its related fields. Reviews, symposium reports, short communications, notes, case reports, hypothesis papers, medical image at a glance, video and announcements are also accepted. Manuscripts should be in English. It is recommended that an English check of the manuscript by a competent and knowledgeable native speaker be completed before submission.
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