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高密度聚乙烯材料与自体移植物在颅面增强手术中的应用比较

High-Density Polyethylene Material versus Autogenous Grafts in Craniofacial Augmentation Procedures.

作者信息

Agarwal Kshitij, Dhirawani Rajesh B, Singha Sauvik, Agrawal Anshalika

机构信息

Department of Oral and Maxillofacial Surgery, Hitkarini Dental College and Hospital, Jabalpur, Madhya Pradesh, India.

出版信息

Ann Maxillofac Surg. 2019 Jan-Jun;9(1):10-14. doi: 10.4103/ams.ams_245_18.

DOI:10.4103/ams.ams_245_18
PMID:31293924
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6585212/
Abstract

AIM

The objective was to do a comparative study and to evaluate the outcome in overall acceptance for correction of residual facial deformity with autogenous graft versus porous polyethylene implants.

MATERIALS AND METHODS

A total of 16 patients in the age group of ≥15 years irrespective of sex, caste, religion, and socioeconomic status presenting with signs and symptoms of residual facial deformities and who were declared fit for surgery were included in the study. The study patients were further divided into two groups, of eight each. Deformity correction using autogenous grafts was performed in Group A and using high-density polyethylene (HDPE) alloplastic implants was performed in Group B. During the follow-up period, patients' and doctor rating of overall acceptance between autogenous and alloplastic (HDPE) bone grafts was recorded on 100-mm visual analog scale (VAS) on the 2 day and 7 day and at 3, 6, and 12 weeks.

RESULTS

The unpaired -test is used for evaluation. VAS score at all the follow-up periods above stated was significantly higher in alloplastic group than in the autogenous group for both in patients and doctor evaluation.

CONCLUSION

From the present study, it can be concluded that porous HDPE implants are an effective alternative to autogenous grafts in accordance of overall acceptance for correction of residual facial deformity when proper case selection, exclusion of negative prognostic factors, and meticulous surgical procedure are followed.

摘要

目的

进行一项比较研究，评估自体移植与多孔聚乙烯植入物矫正面部残余畸形的总体接受效果。

材料与方法

本研究纳入了16例年龄≥15岁、无论性别、种姓、宗教和社会经济地位如何、有面部残余畸形体征和症状且被判定适合手术的患者。研究患者进一步分为两组，每组8例。A组采用自体移植进行畸形矫正，B组采用高密度聚乙烯（HDPE）异体植入物进行矫正。在随访期间，在第2天、第7天以及3、6和12周时，采用100毫米视觉模拟量表（VAS）记录患者和医生对自体和异体（HDPE）骨移植总体接受程度的评分。

结果

采用非配对t检验进行评估。在患者和医生评估中，上述所有随访期的VAS评分在异体移植组均显著高于自体移植组。

结论

从本研究可以得出结论，在遵循适当的病例选择、排除负面预后因素以及细致的手术操作时，多孔HDPE植入物在矫正面部残余畸形的总体接受度方面是自体移植的有效替代方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5d/6585212/f00c9be26764/AMS-9-10-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5d/6585212/23e41ef0210d/AMS-9-10-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5d/6585212/5716770c5ffd/AMS-9-10-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5d/6585212/78ca6d61448a/AMS-9-10-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5d/6585212/d3510d1713bb/AMS-9-10-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5d/6585212/f00c9be26764/AMS-9-10-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5d/6585212/23e41ef0210d/AMS-9-10-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5d/6585212/5716770c5ffd/AMS-9-10-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5d/6585212/78ca6d61448a/AMS-9-10-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5d/6585212/d3510d1713bb/AMS-9-10-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5d/6585212/f00c9be26764/AMS-9-10-g005.jpg

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Facial reconstruction using porous high-density polyethylene (medpor): long-term results.采用多孔高密度聚乙烯（Medpor）进行面部重建：长期结果。
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Efficacy of Iliac Crest vs. Medpor in Orbital Floor Reconstruction.髂嵴与Medpor在眶底重建中的疗效比较。
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Long-term surgical outcomes of porous polyethylene orbital implants: a review of 314 cases.多孔聚乙烯眶内植入物的长期手术效果：314 例回顾。
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Long-term results of high-density porous polyethylene implants in facial skeletal augmentation: An Indian perspective.高密度多孔聚乙烯植入物用于面部骨骼增强的长期效果：印度视角
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