Mueller Cornelia Katharina, Bader Rolf-Dieter, Schultze-Mosgau Stefan
Department of Oral and Maxillofacial Surgery/Plastic Surgery, University Hospital Jena, Jena, Germany.
J Craniofac Surg. 2011 May;22(3):1161-3. doi: 10.1097/SCS.0b013e318210bbec.
Although Goldenhar syndrome is a relatively common craniofacial malformation, there is some debate regarding the ideal treatment of severe mandibular hypoplasia. Traditionally, patients with severe mandibular deficits have been treated with iliac or costochondral bone grafts followed by distraction osteogenesis, with mixed results. The authors present their experience with the use of the osteocutaneous fibula and scapula free flap for mandibular reconstruction in patients with severe mandibular hypoplasia. The cases of 4 patients who underwent free-flap reconstruction of a severely hypoplastic mandible due to Goldenhar syndrome are presented. Microvascular reconstruction of the severely hypoplastic mandible is possible with the osteocutaneous scapula and the fibula flap. Minimal donor-site morbidity is elicited. Furthermore, the vertical relationship can be restored adequately, and breathing is facilitated. The microvascular fibula and scapula flap are a viable option for reconstruction of the severely hypoplastic mandible in patients with Goldenhar syndrome.
尽管戈尔登哈综合征是一种相对常见的颅面畸形，但对于严重下颌骨发育不全的理想治疗方法仍存在一些争议。传统上，严重下颌骨缺损的患者接受髂骨或肋软骨移植，随后进行牵张成骨术，结果不一。作者介绍了他们使用骨皮瓣腓骨和肩胛骨游离皮瓣对严重下颌骨发育不全患者进行下颌骨重建的经验。本文介绍了4例因戈尔登哈综合征接受严重发育不全下颌骨游离皮瓣重建的患者病例。使用骨皮瓣肩胛骨和腓骨瓣对严重发育不全的下颌骨进行微血管重建是可行的。供区并发症极少。此外，垂直关系可以得到充分恢复，呼吸也更加顺畅。微血管腓骨和肩胛骨皮瓣是戈尔登哈综合征患者严重发育不全下颌骨重建的可行选择。
