Taipei, Taiwan From the Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital and Medical College, Chang Gung University.
Plast Reconstr Surg. 2010 Jan;125(1):305-314. doi: 10.1097/PRS.0b013e3181c2bb9d.
The free fibula osteoseptocutaneous flap remains the first choice for segmental mandible and contiguous soft-tissue defect reconstructions in most situations.
Several important principles are described that should be respected during skin paddle design: fibula contouring, insetting, and fixation, and dental implant osseointegration. Recent advancements that address difficulties in height contouring, particularly at the anterior segment, are highlighted.
The presented methods can help provide an optimal mandibular reconstruction that restores mechanical functions, facial aesthetics, and complete dental competence.
Efficient interdisciplinary communication and teamwork are necessary throughout the longitudinal care of the patient if optimal results are to be achieved.
游离腓骨肌皮瓣仍然是大多数情况下分段下颌骨和相邻软组织缺损重建的首选。
描述了在皮瓣设计过程中应遵循的几个重要原则：腓骨塑形、嵌入和固定，以及牙种植体骨整合。强调了近期在高度轮廓方面解决困难的进展。
所提出的方法可以帮助提供最佳的下颌骨重建，恢复机械功能、面部美学和完整的牙齿功能。
如果要达到最佳效果，有必要在患者的纵向护理过程中进行有效的跨学科沟通和团队合作。
