Niedzielska Iwona, Obszyński Łukasz, Bąk Michał, Niedzielski Damian
Department of Craniomaxillofacial Surgery, Medical University of Silesia, 40-027 Katowice, Poland.
J Clin Med. 2022 Jun 22;11(13):3608. doi: 10.3390/jcm11133608.
(1) Background: Nowadays, microvascular grafts are the gold standard in the reconstruction of midface defects after maxillectomy, however, not all patients may qualify for this type of surgery. The purpose of present study is to evaluate the benefits of alternative reconstruction methods such as full-thickness skin grafts for these conditions. (2) Methods: The research group consisted of 37 patients who underwent maxillectomy due to cancer of the mid-face and had full-thickness skin graft reconstruction. The study covered the period from 2011 to 2020. (3) Results: Based on the clinical examination and the subjective assessment of patients, a positive effect of the use of free skin grafts on their convalescence and rehabilitation was found. In particular, they contributed to the reduction in postoperative pain and pain associated with prosthetic stages (VAS Scale). (4) Conclusion: Full-thickness skin grafts in combination with individual prosthetic restorations are a good alternative to rehabilitation in patients who do not qualify for microsurgical treatment.
(1) 背景：如今，微血管移植是上颌骨切除术后中面部缺损重建的金标准，然而，并非所有患者都适合这种手术类型。本研究的目的是评估替代重建方法（如全厚皮片移植）在这些情况下的益处。(2) 方法：研究组由37例因中面部癌症接受上颌骨切除术并进行全厚皮片移植重建的患者组成。研究涵盖2011年至2020年期间。(3) 结果：基于临床检查和患者的主观评估，发现使用游离皮片对其康复和恢复有积极作用。特别是，它们有助于减轻术后疼痛以及与修复阶段相关的疼痛（视觉模拟评分量表）。(4) 结论：对于不适合显微外科治疗的患者，全厚皮片联合个体化修复体是康复的良好替代方案。
