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超干燥羊膜在口腔黏膜手术缺损中的临床应用。

Clinical application of a hyperdry amniotic membrane on surgical defects of the oral mucosa.

作者信息

Arai Naoya, Tsuno Hiroaki, Okabe Motonori, Yoshida Toshiko, Koike Chika, Noguchi Makoto, Nikaido Toshio

机构信息

Department of Oral and Maxillofacial Surgery, Graduate School of Medicine and Pharmaceutical Sciences for Research, University of Toyama, Toyama, Japan.

出版信息

J Oral Maxillofac Surg. 2012 Sep;70(9):2221-8. doi: 10.1016/j.joms.2011.09.033. Epub 2011 Dec 22.

Abstract

PURPOSE

The aim of this study was to evaluate the usefulness of a hyperdry amniotic membrane (AM), a novel preservable human amnion, as a wound-dressing material for surgical defects of the oral mucosa.

MATERIALS AND METHODS

A hyperdry AM was used in the treatment of 10 patients who had developed secondary defects in the tongue and buccal mucosa after the surgical removal of cancerous or precancerous lesions. The effectiveness of the hyperdry AM was assessed by scoring its operability during the surgical procedure and by the hemostatic status, pain relief, feeding situation, epithelialization, and scar contracture in the postoperative period. Its usefulness was evaluated by considering its effectiveness and safety based on the absence of wound infection and graft rejection.

RESULTS

The membrane was found to be easy to handle as an oral-dressing material. It adhered well to the bare connective and muscular tissues. One lingual case showed slight postoperative bleeding, which astriction then stopped. No remarkable adverse effects were observed in the process of wound healing. The average score of the patients was 11.2 points (10 to 13 points) in the present evaluation, with 14 being the highest possible score.

CONCLUSIONS

This study showed the clinical usefulness of the hyperdry AM as an intraoral wound-dressing material. Although the number of cases was small, the results suggested that the hyperdry AM is biologically acceptable to oral wounds and could be a suitable clinical alternative for the repair of the oral mucosa.

摘要

目的

本研究旨在评估一种新型可保存人羊膜——超干燥羊膜(AM)作为口腔黏膜手术缺损创面敷料的有效性。

材料与方法

使用超干燥羊膜治疗10例因手术切除癌性或癌前病变后出现舌部和颊黏膜继发性缺损的患者。通过评估手术过程中超干燥羊膜的可操作性以及术后的止血情况、疼痛缓解情况、进食状况、上皮化情况和瘢痕挛缩情况来评价其有效性。基于无伤口感染和移植排斥反应,通过考虑其有效性和安全性来评估其有用性。

结果

发现该膜作为口腔敷料易于操作。它能很好地粘附于裸露的结缔组织和肌肉组织。1例舌部病例术后出现轻微出血,经压迫后止血。在伤口愈合过程中未观察到明显不良反应。在本次评估中,患者的平均得分为11.2分(满分14分,10至13分)。

结论

本研究表明超干燥羊膜作为口腔内创面敷料具有临床实用性。尽管病例数较少,但结果表明超干燥羊膜在生物学上可被口腔伤口接受,并且可能是口腔黏膜修复的合适临床替代物。

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