Department of Surgery, Maxillofacial Surgery Unit, ULSS 9 Ca' Foncello Regional Hospital Trust, Treviso, Italy.
Microsurgery. 2010;30(1):73-8. doi: 10.1002/micr.20694.
Big craniofacial resections for highly invasive malignant neoplasm, including skull base and maxillary bones, always represent a difficult chance for the reconstructive surgeon. In these cases it is not easy to restore anatomy and function simultaneously even adopting complex microsurgical techniques. In maxillofacial and oral surgery, simple bone homotransplantation for small bone segments reconstruction has been developing as popular technique and tissue banks offer not only bone segments but also many different tissues including complex body parts. In this paper we present, a case report of a homotransplantation of a complete temporomandibular joint (TMJ) together with a portion of the medial skull base and mandibular ramus folded with an ante-brachial fascio-periosteal free flap as secondary reconstruction after nearly 5 years from the removal of a sarcoma of the TMJ involving the skull base and a follow up of more than 30 months.
对于高度侵袭性恶性肿瘤（包括颅底和上颌骨）的大颅面切除术，对于重建外科医生来说始终是一个艰巨的机会。在这些情况下，即使采用复杂的显微外科技术，也不容易同时恢复解剖结构和功能。在颌面和口腔外科中，简单的同种异体骨移植用于重建小骨段已发展成为一种流行的技术，组织库不仅提供骨段，还提供许多不同的组织，包括复杂的身体部位。在本文中，我们报告了一个病例，在 5 年多前切除累及颅底的 TMJ 肉瘤后，采用游离前臂筋膜 - 骨膜瓣作为二次重建，移植了一个完整的 TMJ 以及一部分内侧颅底和下颌支，并随访了 30 多个月。
