Kamiji T, Fujikawa M, Honda T, Higasa H, Sekiguchi J, Ohmori K
Department of Dermatology, Osaka University, School of Medicine, Japan.
Ann Plast Surg. 1992 Nov;29(5):438-43. doi: 10.1097/00000637-199211000-00011.
Two patients with reconstruction of a massive mandibular defect with vascularized full-thickness calvarial bone flaps are reported. In Patient 1, the mandibular body developed osteomyelitis and once was replaced with a metallic prosthesis. The prosthesis later perforated the skin and was removed. Full-thickness calvarial bone flaps were elevated bilaterally to reconstruct the mandibular body. In Patient 2, the mandible was totally destroyed by invasion of squamous cell carcinoma. The lower one-half of the face was resected and replaced with a large island scalp flap with full-thickness calvarial bone.
报道了两例采用带血管蒂全层颅骨骨瓣修复下颌骨巨大缺损的病例。病例1，下颌骨体发生骨髓炎，曾用金属假体替代。该假体后来穿出皮肤并被取出。双侧掀起全层颅骨骨瓣以修复下颌骨体。病例2，下颌骨因鳞状细胞癌侵犯而完全破坏。面部下半部被切除，并用带全层颅骨的大型岛状头皮瓣进行替代。
