Mao Chi, Yu Guang-Yan, Peng Xin, Guo Chuan-Bin, Hu Min-Xian, Zhang Yi, Ma Da-Quan
Department of Maxillofacial Surgery, School of Stomatology, Peking University, Beijing, P. R. China 100081.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2002 Mar;16(2):114-6.
To summary the clinical application of free fibular composite flaps in repair of mandibular defect.
Fifty-eight cases of mandibular reconstruction using free fibular flaps, from June 1999 to November 2000, were reviewed, among which there were 37 cases of male and 21 cases of female, aged from 12 to 65 years old. All of the relevant data of the operation, such as the cause of the defect, design of the flaps, the blood vessels of the recipient and the complications, were included and analyzed.
The fibular flap was 10.9 cm (4-21 cm) averagely in length and was harvested for 2.1 times (1-4 times); the average size of the skin paddle was 5.88 cm x 3.13 cm. Of 58 flaps, there were 56 survived; the overall complication rate was 24.1%.
It's safe and reliable to use free fibular flap to reconstruct the mandibular defect.
总结游离腓骨复合组织瓣在下颌骨缺损修复中的临床应用。
回顾1999年6月至2000年11月应用游离腓骨瓣进行下颌骨重建的58例病例，其中男性37例，女性21例，年龄12至65岁。纳入并分析手术的所有相关数据，如缺损原因、组织瓣设计、受区血管及并发症等。
腓骨瓣平均长度为10.9cm（4 - 21cm），切取次数平均为2.1次（1 - 4次）；皮岛平均大小为5.88cm×3.13cm。58个组织瓣中，56个存活；总体并发症发生率为24.1%。
应用游离腓骨瓣修复下颌骨缺损安全可靠。
