Baumann R R
ORL J Otorhinolaryngol Relat Spec. 1976;38 Suppl 1:122-6. doi: 10.1159/000275325.
This paper explains a new way of a temporary splitting of the lower jaw and the reconstruction of the tongue and the floor of the mouth. The described way of the temporary splitting of the lower jaw allows to maintain the nerve and results in better suppositions for the reposition and osteosynthesis. For the reconstruction of the tongue and the floor of the mouth, an island flap is reommended. The flap consists of the musculus sternocleidomastoideus, pedicled inferiorly in its cranial part of the skin. The skin taking extends over the insertion of the muscle up to the beginning of the hairy part. With this flap it is possible to cover even large defects in the floor of the mouth and its taking does scarcely bother the patient. Thus, in many cases the flap gives the suppositions to maintain the lower jaw.
本文阐述了一种下颌骨临时劈开以及舌和口底重建的新方法。所描述的下颌骨临时劈开方法能够保留神经，并为复位和骨合成提供更好的条件。对于舌和口底的重建，推荐使用岛状皮瓣。该皮瓣由胸锁乳突肌组成，其在颅骨部分的皮肤下方带蒂。取皮范围延伸至肌肉附着处直至毛发起始部位。使用这种皮瓣甚至可以覆盖口底的大缺损，且取材几乎不会给患者带来困扰。因此，在许多情况下，该皮瓣为保留下颌骨提供了条件。
