Siciliano S, Lengelé B, Reychler H
Department of Oral and Maxillofacial Surgery, St. Luc University Hospital, Brussels, Belgium.
J Craniomaxillofac Surg. 1998 Dec;26(6):386-90. doi: 10.1016/s1010-5182(98)80072-3.
The authors report the first case of mandibular distraction osteogenesis applied to a fibula microvascularized flap used to reconstruct an almost entire mandible. The technique and complications are described. The literature is reviewed. The biological and physiological process of bone elongation by Ilizarov's method is explained according new studies on chondroid tissue. Preoperative planning of vectors of device placement and trajectory is essential for good results.
作者报告了首例将下颌骨牵张成骨应用于带微血管的腓骨瓣以重建几乎整个下颌骨的病例。描述了该技术及并发症，并对文献进行了综述。根据对软骨样组织的最新研究，解释了伊利扎洛夫方法中骨延长的生物学和生理过程。术前规划器械放置的向量和轨迹对于取得良好效果至关重要。
