面部移位术中骨移植坏死：三种不同技术的比较

Bone graft necrosis of facial translocation: comparison of 3 different techniques.

作者信息

Chen Chiang-Wen, Hao Sheng-Po, Pan Whei-Lin

机构信息

Department of Otolaryngology, Chang Gung Cancer Center, Taipei, Taiwan.

出版信息

Otolaryngol Head Neck Surg. 2006 Nov;135(5):719-23. doi: 10.1016/j.otohns.2006.03.012.

DOI:10.1016/j.otohns.2006.03.012

PMID:17071301

Abstract

OBJECTIVE

To compare the viability of translocated facial bone grafts among 3 different techniques of facial translocation: free bone graft (FBG), attached bone graft (ABG), and modified facial translocation (MFT).

STUDY DESIGN

A total of 107 patients were divided into 3 groups: FBG group without reconstruction (N = 33), ABG group (N = 14), and FBG group with reconstruction using a flap (FBG[R+] and MFT) (N = 60). Data evaluated included the respective incidence of bone graft necrosis (BGN) and the impact of radiotherapy.

RESULTS

The incidence of BGN significantly varied among the three different groups (P = 0.00003): FBG[R-] (11/33[33.3%]), ABG (1/14[7.1%]) and FBG[R+] and MFT (1/60[1.67%]). Soft tissue reconstruction significantly decreased the incidence of BGN (P = 0.00003), even in patients with radiation therapy (P = 0.00001).

CONCLUSIONS

MFT significantly increases the viability of translocated facial bone grafts, which provides a good surgical approach to the anterior skull base.

摘要

目的

比较3种不同面部移位技术（游离骨移植[FBG]、附着骨移植[ABG]和改良面部移位[MFT]）后移植面部骨的存活率。

研究设计

总共107例患者被分为3组：未行重建的FBG组（N = 33）、ABG组（N = 14）以及采用皮瓣重建的FBG组（FBG[R+]和MFT）（N = 60）。评估的数据包括骨移植坏死（BGN）的各自发生率以及放疗的影响。

结果

3组之间BGN的发生率有显著差异（P = **********）：FBG[R-]组（11/33[33.3%]）、ABG组（1/14[7.1%]）以及FBG[R+]和MFT组（1/60[1.67%]）。软组织重建显著降低了BGN的发生率（P = **********），即使是接受放疗的患者（P = **********）。