Bleier R, Kirsch A, Mann W J
Universitäts-HNO-Klinik, Mainz.
Laryngorhinootologie. 1991 Nov;70(11):625-9. doi: 10.1055/s-2007-998111.
Defects in the head and neck region following extensive tumor removal are sometimes difficult to reconstruct by local or free flaps. An epithesis is a recommended alternative in defects of the ear, the nose or the orbital region. Nevertheless problems may arise in the appropriate fixation of the epithesis. With the intermobile-cylinder-implant-system (IMZ), the epithesis is firmly fixed by means of osseointegration of the implants and an abutment in the area of the defect. The various steps of the operation and clinical applications are presented.
广泛切除肿瘤后,头颈部区域的缺损有时难以通过局部或游离皮瓣进行修复。对于耳部、鼻部或眼眶区域的缺损,赝复体是一种推荐的替代方法。然而,在赝复体的适当固定方面可能会出现问题。使用可移动圆柱植入系统(IMZ),赝复体通过植入物与缺损区域基台的骨整合而牢固固定。本文介绍了手术的各个步骤及临床应用。