Đánh giá kết quả phẫu thuật tạo hình khe hở môi trên toàn bộ một bên theo phương pháp Millard có cải tiến

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Hồng Lợi Nguyễn, Văn Khánh Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học lâm sàng Bệnh viện Trung ương Huế, 2023

Mô tả vật lý: tr.80-86

Bộ sưu tập: Metadata

ID: 341689

Thêm vào giỏ Liên kết toàn văn

Mục tiêu: Đánh giá kết quả phẫu thuật tạo hình khe hở môi trên toàn bộ một bên theo phương pháp Millard có cải tiến. Đối tượng, phương pháp: Nghiên cứu mô tả, tiến cứu, có can thiệp lâm sàng trên 35 bệnh nhân có dị tật bẩm sinh khe hở môi trên toàn bộ một bên tại Trung tâm Răng Hàm Mặt Bệnh viện Trung ương từ tháng 3/2022 đến tháng 5 /2023. Kết quả: Sau ra viện: Liền thương tốt 97,1%, bục chỉ 2,9%
các vạt da nuôi dưởng tốt 97,1%, hoại tử đuôi vạt 2,9%
Sẹo môi: tốt 68,6%, khá 28,5%, kém 2,9%. Kết quả sau phẫu thuật 3 tháng tốt 74,2%, khá 22,8%, kém 2,9%. Kết quả sau phẫu thuật 6 tháng tốt 68,6%, khá 28,5%%, kém 2,9%. Kết luận: Phẫu thuật tạo hình khe hở môi trên toàn bộ một bên theo phương pháp Millard có cải tiến, có tính khả thi, đạt được nhiều ưu điểm vượt trội hơn phương pháp Millard truyền thống. Từ khóa: Khe hở môi trên, phương pháp Millard, Maillard cải tiến. ABSTRACT Evaluation of the results of unilateral complete cleft lip surgery using modified Millard’s technique Nguyen Hong Loi1, Nguyen Van Khanh1 Objective: To evaluate the results of unilateral complete cleft lip surgery using Modified Millard’s technique. Methods: A descriptive, prospective, clinical intervention study on 35 patients with congenital malformations of unilateral complete cleft lip Odonto - Stomatology Center, Hue Central Hospital from March 2022 to May 2023. Results: After discharge from the hospital, the incision healed well, which accounted for 97.1%, only 2.9% suture breakage
skin flaps are well nourished, which accounted for 97.1%, necrosis with 2.9%
evaluation of lip scars: good 68.6%, average 28.5% and poor 2.9%. The results after 3 months of surgery were divided into 3 categories: good 74.2%, average 22.8% and poor 2.9%. Results after 6 months of surgery showed: good 68.6%, average 28.5%% and poor 2.9%. Conclusion: Unilateral complete cleft lip surgery using Modified Millard’s Technique is feasible and more advantageous than the traditional Millard’s Technique. Keywords: Cleft lip, Millard’s Technique, Modified Millard’s Technique.

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