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 Wysłany: Wto 15:08, 15 Mar 2011 Temat postu: asics tiger shoes Reconstruction of mandibular bon |
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Muscle flap reconstruction of mandibular bone after the application of ultrasound to monitor the value of blood supply
The amount of color. After 2 weeks, for all cases of bone flap transplantation for color Doppler ultrasound and isotope scan. Table Clinical data of 115 fell ill No. t% N Age allograft pathology * Lou Long-fibula flap skin island 2era × 4cm results of the 15 patients after iliac crest and fibula flaps all survived, the success rate of 100% . Bone flap transplantation, skin color, normal, clear striae; bone flap transplantation, the more successful units in 7 cases,[link widoczny dla zalogowanych], l cases of infection caused by delayed healing of bone graft area. Local swelling was infected, but the Doppler ultrasound examination showed arterial blood flow by Phil Chang bone area, so only the pressure of local drainage to prevent the blood vessels, strengthen the observation and anti-infection measures,[link widoczny dla zalogowanych], basic wound healing after 2 weeks, 15 patients with bone muscle ( skin) flap after 7 days of daily-line Doppler ultrasound examination showed patency of arteriovenous anastomosis in all cases the color Doppler ultrasound examination showed a good recipient for the peroneal artery; isotope radionuclide bone scan results for the uniform uptake transplantation, suggesting that transplantation bone growth is good. Immediate mandibular defects with soft tissue defects at the same time, can be prepared fibula or iliac bone flap while addressing the soft and hard tissue defects, this time through the flap color, sticks, capillary filling test and blood tests such as acupuncture simple way to test an indirect understanding of the deep bone flap blood supply. When the mandible alone, although may be with And objective, reliable, simple and easy. Ultrasound stethoscope is the use of ultrasonic detection of blood flow in surface blood flow J,[link widoczny dla zalogowanych], Huntleigh Doppler stethoscope, the ultrasonic power to check the body surface 8MHz small arteries and veins. Xin diagnostic devices using the probe when placed in a medium skin, artery rhythmic sound of the shooting was the sound, the sound is short and rapid a vein of the gap is shorter. But sometimes there is quiet and silent venous ultrasound stethoscope blood flow in the preoperative examination for by the vessels condition. And simultaneously recorded before and after the waveform to facilitate control, but also check in the intraoperative or postoperative vascular anastomosis is smooth. Peroneal artery and vein, after taking the inside line in the fibula. In Charcot-Marie-(skin) flap mandible, the general reconstruction of the peroneal tube placed in the lower edge of mandible, fibula this orientation ensures that the upper edge of the outer titanium implant fixed or does not damage the main blood vessels . In order to observe the technical accuracy of the tongue, before closing the record mark in the skin of the neck kiss sets out the location and vascular courses, they postoperative Doppler ultrasound monitoring. Peroneal artery or arteries are often associated with a collar the kiss sets thyroid artery, blood vessels close to the platysma, superficial location,[link widoczny dla zalogowanych], easy to observe the ultrasound Doppler blood flow. Ultrasonic Doppler auscultation operation method is simple, convenient, noninvasive, simply place the probe vein superficial skin, to understand the blood flow, and reliable, but also for quantitative analysis; and for infection , the operation may be contaminated split mouth, our experience is: as long as the concept of strictly aseptic operation,[link widoczny dla zalogowanych], after all, a simple, easy and effective monitoring methods.
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