論文

査読有り 国際誌
2022年2月28日

Clinical Application of Hyperdry Amniotic Membrane in Cleft Palate Repair.

The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
  • Kumiko Fujiwara
  • ,
  • Hiroaki Tsuno
  • ,
  • Motonori Okabe
  • ,
  • Toshiko Yoshida
  • ,
  • Shuichi Imaue
  • ,
  • Kei Tomihara
  • ,
  • Naoya Arai
  • ,
  • Makoto Noguchi

60
6
開始ページ
10556656221075937
終了ページ
10556656221075937
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1177/10556656221075937

OBJECTIVE: To examine the safety and efficacy of hyperdry amniotic membrane (HDAM) for wound closure after palatoplasty in cleft palate patients. METHODS: HDAMs were prepared by washing and drying under infrared rays and microwaves at temperatures less than 60°C using a hyperdrying device. A total of 16 cleft palate patients (8 males, 8 females), aged 1 to 3 years (mean age 1 year 9 months), received one-stage pushback palatoplasty. The remaining raw wound after surgery was covered by an HDAM and a plastic cover plate. The cover plate was removed 1 week after surgery and parameters including temperature, feeding, allergic reactions, postoperative bleeding, re-epithelialization, wound dehiscence, and infection were monitored during the follow-up period of 31.2 months. RESULTS: All patients could adequately ingest at 5 days postoperation and after removal of the cover plate. None of the patients had a persistent fever or allergic reactions. Ingestion was feasible immediately in all patients, and no postoperative bleeding was observed during ingestion. No secondary hemorrhages were observed during follow-up. No postoperative wound dehiscence on the midline of the palate was observed. No infections were observed after the removal of the cover plate. No patients suffered from severe scar formation or contracture of the wound in the follow-up period. Hemorrhage, undue epithelialization, and scar contracture did not occur in any patient. The mean evaluation score was 7.75 points. CONCLUSION: HDAM can be used safely and effectively for wound closure following palatoplasty in cleft palate infants. Future studies testing the safety of patient's own amnion for palatoplasty, are required.

リンク情報
DOI
https://doi.org/10.1177/10556656221075937
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/35225019
ID情報
  • DOI : 10.1177/10556656221075937
  • PubMed ID : 35225019

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