Khatami Amir H, Toljanic Joseph A, Kleinman Alejandro
Advanced Education in Prosthodontics, School of Dentistry, Loma Linda University, Loma Linda, Calif, USA.
J Oral Implantol. 2010;36(5):385-90. doi: 10.1563/AAID-JOI-D-09-00066. Epub 2010 Jun 14.
Primary and secondary reconstruction of mandibular discontinuity defects with vascularized flap is currently the standard of care in many institutions. The most commonly used donor site for such flaps is fibula. Fibula provides enough bone length, allows 2-team approach, and has low donor site morbidity and abundant periosteal blood supply. The placement of endosseous implants in the vascularized fibula flap also facilitates functional dental rehabilitation. This clinical report describes the prosthetic rehabilitation and the complications of 2 mandibular discontinuity defects treated with vascularized fibula flap and implant-supported fixed prosthesis.
目前，在许多机构中，采用带血管蒂皮瓣对下颌骨连续性缺损进行一期和二期重建是标准的治疗方法。此类皮瓣最常用的供区是腓骨。腓骨提供足够的骨长度，允许采用双团队手术方式，供区并发症发生率低，骨膜血供丰富。在带血管蒂腓骨瓣中植入骨内种植体也有助于进行功能性牙齿修复。本临床报告描述了采用带血管蒂腓骨瓣和种植体支持的固定修复体治疗2例下颌骨连续性缺损的修复治疗及并发症情况。
