Roselli Raffaele, Muscatello Luca, Valdatta Luigi, Pavan Graziano, Spriano Giuseppe
Department of Otorhinolaryngology-Head and Neck Surgery University Hospital, Varese, Italy.
Ann Otol Rhinol Laryngol. 2004 Dec;113(12):956-60. doi: 10.1177/000348940411301204.
The authors present a new method of mandibular reconstruction with frozen autologous mandibular bone. Vascular supply to the neomandible is ensured by the periosteal layer of a microvascular radial periosteal fasciocutaneous free flap, placed so as to envelop the bone and cover the surgical defect. The use of the periosteal layer of the radius to provide new blood vessels to the frozen mandible is an original technical feature that we describe. We describe 2 cases of oral carcinoma involving the mandible, treated with mandibular resection and reconstruction. This technique allows good functional and aesthetic results, avoiding more serious complications related to the use of composite free flaps harvested from distant anatomic donor sites.
作者介绍了一种使用冷冻自体下颌骨进行下颌骨重建的新方法。通过将微血管桡侧骨膜筋膜皮瓣的骨膜层放置成包裹骨头并覆盖手术缺损，确保新下颌骨的血供。利用桡骨的骨膜层为冷冻下颌骨提供新血管是我们所描述的一项原创技术特点。我们描述了2例累及下颌骨的口腔癌病例，采用下颌骨切除和重建治疗。该技术能带来良好的功能和美学效果，避免了与使用来自远处解剖供区的复合游离皮瓣相关的更严重并发症。
