Ducic Y, Hilger P A, Peters M D
Otolaryngology and Facial Plastic Surgery, John Peter Smith Hospital, Forth Worth, TX 76104, USA.
J Oral Maxillofac Surg. 1999 Apr;57(4):421-6. doi: 10.1016/s0278-2391(99)90283-5.
The purpose of this study was to develop and assess the potential feasibility of reconstructing composite defects of the mandible with a local pedicled osteomyocutaneous mandibular flap.
The flap design was established based on anatomic principles. A prospective evaluation of the flap was then performed in a fresh cadaver model, and, subsequently, its vascular integrity was documented with angiography.
The pedicled osteomyocutaneous mandibular flap was technically simple to raise and had an exceptionally long arc of rotation, which should enable it to fill most compound segmental defects of the mandible. Angiographic studies of the harvested flaps done under fluoroscopic guidance confirmed that excellent vascularity of all components of the flap was present.
The pedicled osteomyocutaneous mandibular flap appears to have a sound anatomic basis. Clinical evaluation is needed to fully elucidate its potential role in head and neck reconstruction.
本研究的目的是开发并评估使用局部带蒂骨肌皮瓣重建下颌骨复合缺损的潜在可行性。
基于解剖学原理设计皮瓣。随后在新鲜尸体模型中对皮瓣进行前瞻性评估，并通过血管造影记录其血管完整性。
带蒂骨肌皮瓣在技术上易于掀起，且旋转弧异常长，这应使其能够填充大多数下颌骨复合节段性缺损。在透视引导下对切取的皮瓣进行的血管造影研究证实，皮瓣各组成部分的血供良好。
带蒂骨肌皮瓣似乎有可靠的解剖学基础。需要进行临床评估以充分阐明其在头颈部重建中的潜在作用。
