Dielert E, Stock W
Klinik und Poliklinik für Kieferchirurgie der LMU München.
Dtsch Z Mund Kiefer Gesichtschir. 1991 Mar-Apr;15(2):94-100.
A method for the reconstruction of the bony chin contour with an iliac crest free flap is described. The skin pad may be used to replace mucosa or skin or both. Excessive bulk can be a problem, particularly where a relatively small bone and oral mucosal defect requires replacement. Attempts at minimizing this bulk risk the loss of blood supply to the overlying skin. Another procedure, such as the internal oblique-iliac crest osseomyocutaneous flap or inclusion of the thoracodorsal pedicle with the scapular osteocutaneous flap, should then be considered.
描述了一种使用游离髂嵴皮瓣重建骨性颏轮廓的方法。皮瓣可用于替代黏膜或皮肤或两者。过多的组织量可能是个问题，特别是在需要修复相对较小的骨和口腔黏膜缺损的情况下。试图减少这种组织量会有导致覆盖皮肤血液供应丧失的风险。此时应考虑采用其他手术方法，如腹内斜肌-髂嵴骨肌皮瓣或在肩胛骨皮瓣中包含胸背血管蒂。
