使用带牙种植体的逆行面动脉-颏下动脉下颌骨肌皮瓣进行上颌骨功能重建。
Maxillary functional reconstruction using a reverse facial artery-submental artery mandibular osteomuscular flap with dental implants.
作者信息
Chen Wei-liang, Zhou Miao, Ye Jian-tao, Yang Zhao-hui, Zhang Da-ming
机构信息
Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
出版信息
J Oral Maxillofac Surg. 2011 Nov;69(11):2909-14. doi: 10.1016/j.joms.2011.02.043. Epub 2011 Jul 1.
PURPOSE
This clinical study assessed the reverse facial artery-submental artery mandibular osteomuscular flap with titanium dental implants for the functional reconstruction of maxillary defects.
PATIENTS AND METHODS
Class 2a defects in 5 patients were repaired with a reverse facial artery-submental artery mandibular osteomuscular flap with titanium dental implants (n = 21). All patients received a fixed partial denture after a 3- to 6-month healing period.
RESULTS
All lesions were widely excised in an area extending to the maxilla. Of the implants, 20 (95.2%) were loaded and 1 was lost before loading. Reconstruction with a fixed partial denture was successful in all patients. The patients were followed up for 12 to 20 months (mean, 15.8 months), and no recurrence was observed.
CONCLUSION
The reverse facial artery-submental artery mandibular osteomuscular flap with titanium dental implants is safe, quick, and simple to elevate and is reliable for the functional reconstruction of maxillary defects.
目的
本临床研究评估了带钛牙种植体的逆行面动脉-颏下动脉下颌骨肌皮瓣在上颌骨缺损功能重建中的应用。
患者与方法
5例2a类缺损患者采用带钛牙种植体的逆行面动脉-颏下动脉下颌骨肌皮瓣进行修复（共21个种植体）。所有患者在3至6个月的愈合期后接受了固定局部义齿修复。
结果
所有病变均在延伸至上颌骨的区域广泛切除。种植体中，20个（95.2%）成功植入，1个在植入前丢失。所有患者固定局部义齿修复均成功。患者随访12至20个月（平均15.8个月），未观察到复发。
结论
带钛牙种植体的逆行面动脉-颏下动脉下颌骨肌皮瓣安全、快速、易于掀起，对上颌骨缺损的功能重建可靠。
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