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[游离腓骨肌皮瓣修复下颌骨及软组织缺损]

[The reconstruction of mandible and soft tissue defects with the osteocutaneous free fibula flap].

作者信息

Li N, Jia M, Yuan R

机构信息

Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Qingdao Medical College, Qingdao 266003.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 1998 Nov;33(6):332-4.

PMID:11774433
Abstract

OBJECTIVE

To find a new material to reconstruct the defects involving mandible and the surrounding soft tissues with the donor site morbidity mild and transient.

METHODS

Ten consecutive fibula free flaps were used to reconstruct composite defect of mandible and soft tissue. The average length of the fibular graft was 9.1 cm, and the average size of the cutaneous-flap was 4.5 cm x 6.2 cm.

RESULTS

99mTcO4- scan demonstrated that 9 flaps were survivial (9/10) 2 weeks postsurgery. The function and the contour of the mandible were excellent. The donor site morbidity was mild and transient.

CONCLUSION

Fibula has a high density of cortical bone. There is enough bone available to reconstruct mandible defect. The osteocutaneous fibula flap is a new material to reconstruct the composite mandible and soft tissue defects.

摘要

目的

寻找一种供区并发症轻微且短暂的新材料,用于修复涉及下颌骨及周围软组织的缺损。

方法

连续应用10例游离腓骨瓣修复下颌骨及软组织复合缺损。腓骨移植的平均长度为9.1 cm,皮瓣的平均大小为4.5 cm×6.2 cm。

结果

术后2周99mTcO4-扫描显示9个皮瓣存活(9/10)。下颌骨的功能和外形良好。供区并发症轻微且短暂。

结论

腓骨皮质骨密度高。有足够的骨量可用于修复下颌骨缺损。腓骨骨皮瓣是修复下颌骨及软组织复合缺损的一种新材料。

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Zhonghua Kou Qiang Yi Xue Za Zhi. 1998 Nov;33(6):332-4.
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