Zhong Lai-Ping, Chen Guan-Fu, Fan Li-Jie, Zhao Shi-Fang
Zhejiang Univeristy College of Medicine, Department of Oral and Maxillofacial Surgery, Second Affiliated Hospital, Hangzhou, China.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004 Feb;97(2):147-54. doi: 10.1016/j.tripleo.2003.09.011.
To reconstruct immediately the maxilla with bone grafts after partial maxillary resection and solve complications of exposed bone grafts to the maxillary sinus leading to a high rate of bone infection and sequestration.
Thirty-eight patients were treated by immediate reconstruction of the maxilla with bone grafts supported by pedicled buccal fat pad (BFP) graft. The facial contour, the bone healing of the bone grafts, and the function of the maxillary sinus were evaluated with the Waters radiograph and speech evaluation.
The postoperative healing was satisfactory with normal mouth opening and symmetrical contour of the face. The function of the maxillary sinus was restored with satisfactory speech and symmetrical density on radiograph and the healing of the bone grafts was good without complications such as bone resorption and sequestration.
Immediate reconstruction of the maxilla with bone grafts supported by pedicled BFP grafts can restore the facial contour and the function of the maxillary sinus for the patients with partial maxillary resection. It provides a good method to reconstruct the maxillary defects and function in the mouth.
对上颌骨部分切除术后立即采用骨移植重建上颌骨，并解决骨移植暴露于上颌窦导致骨感染和骨坏死发生率高的并发症问题。
38例患者采用带蒂颊脂垫（BFP）移植支撑的骨移植对上颌骨进行即刻重建。通过华氏位X线片和语音评估对面部轮廓、骨移植的骨愈合情况以及上颌窦功能进行评估。
术后愈合情况良好，开口正常，面部轮廓对称。上颌窦功能得以恢复，语音良好，X线片显示密度对称，骨移植愈合良好，无骨吸收和骨坏死等并发症。
采用带蒂BFP移植支撑的骨移植即刻重建上颌骨，可为上颌骨部分切除患者恢复面部轮廓和上颌窦功能。它为重建上颌骨缺损及口腔功能提供了一种良好的方法。
