Department of Maxillo-Facial Surgery, IRCCS Istituto Ortopedico Galeazzi Milan, University of Milan, Italy.
Acta Otorhinolaryngol Ital. 2010 Dec;30(6):299-302.
Maxillary reconstruction still remains challenging for surgeons despite the fact that maxilla is a static structure. The correct shape and volume of the reconstruction can guarantee the best result in terms of soft tissue support and functional outcome for the patients restoring three-dimensional support of the mid third. The fibula free flap seems to be the best free flap to apply in this type of reconstruction, partial maxillectomy, in particular, can benefit from reconstruction with the double barrelled fibula free flap. In fact, this shape can provide the best support to cheek tissue and minimize the tendency of upper retraction of the alar base of the nose and lips. Moreover, the free flap, containing bone, can restore a skeletal structure that will provide adequate bony support for osteointegrated implant prosthesis rehabilitation. All these conditions can be achieved with the double barrel fibula flap that we consider a good approach for maxillary reconstruction.
尽管上颌骨是一种静态结构，但上颌骨的重建仍然对外科医生具有挑战性。正确的形状和体积的重建可以保证最好的结果，在软组织支持和功能的结果为患者恢复三维支持的中间三分之一。腓骨游离皮瓣似乎是最好的游离皮瓣应用于这种类型的重建，部分上颌骨切除术，特别是可以受益于重建与双桶腓骨游离皮瓣。事实上，这种形状可以提供最好的支持脸颊组织和最大限度地减少上唇和鼻翼基部的上收缩的趋势。此外，游离皮瓣，含有骨，可以恢复一个骨骼结构，将提供足够的骨支持骨整合种植体修复。所有这些条件都可以用双桶腓骨瓣来实现，我们认为这是上颌骨重建的一种好方法。
