Baj A, Ferrari S, Bianchi B, Laganà F, Bellocchio G, Sesenna E
Clinic of Maxillo-Facial Surgery, University of Parma, Italy.
Acta Otorhinolaryngol Ital. 2003 Apr;23(2):102-110.
Oromandibular reconstruction following oncological resection is particularly challenging. In this past decade, great improvements have been made, in functional and aesthetic terms, following the introduction of composite free flaps. By means of this reconstructive technique, it is, in fact, possible to restore mandibular continuity, and, consequently, the morphology of the lower third of the face; rehabilitate mastication through osteointegrated implants, and optimise the reconstruction of soft tissue, employing the fascio-cutaneous or muscular portion of these flaps. Between January 1995 and January 2001, 70 oromandibular reconstructions employing osseous free flaps were performed in the Department of Maxillo-Facial Surgery of the Ospedale Maggiore in Parma, and in 13 of these the iliac crest free flap was used. Personal experience is described regarding the indications and use of this flap.
肿瘤切除术后的口下颌重建极具挑战性。在过去十年中，随着复合游离皮瓣的引入，在功能和美学方面都取得了巨大进步。事实上，通过这种重建技术，可以恢复下颌的连续性，进而恢复面部下三分之一的形态；通过骨整合植入物恢复咀嚼功能，并利用这些皮瓣的筋膜皮瓣或肌肉部分优化软组织重建。1995年1月至2001年1月期间，帕尔马的马焦雷医院颌面外科进行了70例采用游离骨皮瓣的口下颌重建手术，其中13例使用了髂嵴游离皮瓣。本文介绍了关于该皮瓣的适应症及应用的个人经验。
