Persson G, Astrand P, Lundgren A, Stenström S
Int J Oral Surg. 1978 Dec;7(6):512-22. doi: 10.1016/s0300-9785(78)80067-2.
A total of 23 patients with partly resected mandible were repaired with autogenous bone grafts from the iliac crest and ribs. The reasons for reconstruction are presented in Table 1. The grafts healed without complications in 21 cases. With the exception of two of the cases with gunshot wounds, all patients recovered good mobility of the jaw and satisfactory mandibular contours. The patients had been folloed up for 6 months to 11 years. Radiographic examination at the last examination showed that resorption of the graft had been only slight or moderate. Through marrow-spongious bone grafts are regarded as best from an osteogenetic point of view, our cases showed that good results can be achieved also with solid block grafts. The authors discuss the use of plate osteosynthesis without IMF instead of other types of graft fixation and IMF. In six cases where the area of the graft was loaded with a prosthesis, resorption was not more extensive than in the other cases.
共有23例下颌骨部分切除患者采用取自髂嵴和肋骨的自体骨移植进行修复。重建原因见表1。21例移植骨愈合良好，无并发症。除2例枪伤患者外，所有患者下颌活动度恢复良好，下颌轮廓满意。患者随访时间为6个月至11年。最后一次检查时的影像学检查显示，移植骨仅有轻微或中度吸收。尽管从成骨角度来看，松质骨移植被认为是最佳的，但我们的病例表明，整块骨移植也能取得良好效果。作者讨论了使用无颌间固定的钢板内固定替代其他类型的移植骨固定和颌间固定。在6例移植骨区域加载假体的病例中，吸收情况并不比其他病例更严重。
