Kürkcü Mehmet, Benlidayi Mehmet Emre, Kurtoğlu Cem, Kesiktaş Erol
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cukurova University, Adana, Turkey.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Mar;105(3):e36-40. doi: 10.1016/j.tripleo.2007.09.023.
The reconstruction of mandibular continuity defects after tumor resection with free vascularized bone flaps is considered to be a treatment option. Although the fibula flap presents many advantages, it does not offer sufficient bone height to restore the alveolar arch when reconstruction involves a dentate mandible. In this report, 2 patients who were referred to our clinic with reconstructed mandibles with diagnosis of amelablastoma are presented and compared. The mandibles of these patients were reconstructed with free vascularized fibula flaps. Whereas one of the reconstructed mandibles was vertically distracted before implant placement, distraction procedure was not carried out for the other patient. Increasing height of the fibula flap by distraction osteogenesis before implant placement in dentate mandible is desirable from a functional and esthetic point of view.
采用带血管游离骨瓣修复肿瘤切除术后下颌骨连续性缺损被视为一种治疗选择。尽管腓骨瓣具有诸多优势，但在修复涉及有牙下颌骨时，它无法提供足够的骨高度来恢复牙槽弓。在本报告中，我们呈现并比较了2例因成釉细胞瘤诊断而转诊至我院且下颌骨已重建的患者。这些患者的下颌骨均采用带血管游离腓骨瓣进行重建。其中一例重建下颌骨在种植体植入前进行了垂直牵张，而另一例患者未进行牵张手术。从功能和美学角度来看，在有牙下颌骨种植体植入前通过牵张成骨增加腓骨瓣的高度是可取的。
