TAILIEUCHUNG - báo cáo khoa học:" Early postoperative bone scintigraphy in the evaluation of microvascular bone grafts in head and neck reconstruction"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Early postoperative bone scintigraphy in the evaluation of microvascular bone grafts in head and neck reconstruction | Head Face Medicine BioMed Central Research Open Access Early postoperative bone scintigraphy in the evaluation of microvascular bone grafts in head and neck reconstruction Jonas Schuepbach 1 2 Olivier Dassonville2 Gilles Poissonnet2 and Francois Demard2 Address Department of Otolaryngology Head and neck surgery University Hospital Inselspital Berne Freiburgstrasse 10 CH-3010 Berne Switzerland and 2Centre Antoine Lacassagn 33 Valombrose F-06189 Nice France Email Jonas Schuepbach - Olivier Dassonville - odasson@ Gilles Poissonnet - Francois Demard - Corresponding author Published 20 April 2007 Received 30 November 2006 Head Face Medicine 2007 3 20 doi 1746-160X-3-20 Accepted 20 April 2007 This article is available from http content 3 1 20 2007 Schuepbach et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Bone scintigraphy was performed to monitor anastomotic patency and bone viability. Methods In this retrospective study bone scans were carried out during the first three postoperative days in a series of 60 patients who underwent microvascular bone grafting for reconstruction of the mandible or maxilla. Results In our series early bone scans detected a compromised vascular supply to the bone with high accuracy p 10-6 and a sensitivity that was superior to the sensitivity of clinical monitoring 92 and 75 respectively . Conclusion When performing bone scintigraphy during the first three postoperative days it not only helps to detect complications with high accuracy as described in earlier studies but it is also an additional reliable monitoring tool to decide whether or

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