Militsakh Oleg N, Wallace Derrick I, Kriet J David, Girod Douglas A, Olvera Melissa S, Tsue Terance T
Department of Otolaryngology-Head and Neck Surgery, University of Kansas School of Medicine, Kansas City, KS 66160, USA.
Otolaryngol Head Neck Surg. 2004 Nov;131(5):660-5. doi: 10.1016/j.otohns.2004.04.033.
To review our experience with 2.0-mm locking reconstruction plate (LRP) system for patients requiring oromandibular reconstruction.
Retrospective case review of 43 consecutive patients who underwent mandibular composite resection with immediate reconstruction.
Tertiary care center.
Forty-three patients underwent oromandibular reconstruction with the 2.0-mm mandibular LRP system and free flaps containing vascularized bone. Mean follow-up was 11 months. There were no intraoperative difficulties utilizing this system. Two (5%) patients had partial fasciocutaneous flap loss resulting in plate exposure. There were no instances of plate fracture or complications requiring plate removal to date.
2.0-mm LRP mandibular system is reliable even in the setting of previous or adjuvant radiation therapy. Its technical ease of application, contouring malleability, and very low profile have proven to be advantageous in oromandibular reconstruction.
No previous descriptions of use of the 2.0-mm LRP in combination with osteocutaneous free flaps for mandibular reconstruction are found in the literature.
C.
回顾我们使用2.0毫米锁定重建钢板（LRP）系统治疗需要口腔颌面部重建患者的经验。
对43例连续接受下颌骨复合切除并即刻重建的患者进行回顾性病例分析。
三级医疗中心。
43例患者使用2.0毫米下颌LRP系统及含血管化骨的游离皮瓣进行口腔颌面部重建。平均随访时间为11个月。使用该系统未出现术中困难。2例（5%）患者出现部分筋膜皮瓣坏死，导致钢板外露。迄今为止，未发生钢板断裂或因并发症需要取出钢板的情况。
即使在既往接受过放疗或辅助放疗的情况下，2.0毫米LRP下颌系统也是可靠的。其技术应用简便、塑形柔韧性好且外形极低，已证实在口腔颌面部重建中具有优势。
文献中未发现此前关于使用2.0毫米LRP联合骨皮游离皮瓣进行下颌骨重建的描述。
C级
