Harsha G, Reddy S Ganesh Kumar, Talasila Sunil, Salaam S Abdus, Srinivasulu M, Reddy V Sridhar
Department of Oral and Maxillofacial Surgery, MNR Dental College, Sangareddy, Hyderabad, Andhra Pradesh, India.
J Contemp Dent Pract. 2012 Jan 1;13(1):75-9. doi: 10.5005/jp-journals-10024-1099.
The study was aimed at esthetic and functional results as well as patient tolerance after reconstruction with reconstruction plate. The follow-up ranged from 1 to 4 years.
A retrospective study of 36 patients who had mandibular reconstruction with AO/ASIF stainless steel reconstruction plates after oncologic resection was evaluated. The indications and postoperative outcomes were studied.
At the end of study, 24 of 36 patients (67%) still had the plate in place. Around three (8%) plates were fractured. Nine (25%) plates got exposed leading to surgical intervention. Surgical results were satisfying, particularly when looking at delayed healing or long-term tolerance. Esthetic (79% rated results as good or acceptable) and functional results of this reconstruction were satisfying.
We conclude by saying that reconstruction plate provides a solution for safe and rapid mandibular reconstruction for patients with poor prognosis or poor condition. This method also preserves the possibility of secondary reconstruction.
The reconstruction plate may be a good clinical choice for safe and rapid mandibular reconstruction.
本研究旨在探讨使用重建钢板进行重建后的美学和功能效果以及患者耐受性。随访时间为1至4年。
对36例肿瘤切除术后采用AO/ASIF不锈钢重建钢板进行下颌骨重建的患者进行回顾性研究。对手术适应症及术后结果进行研究。
研究结束时，36例患者中有24例（67%）的钢板仍在位。约3块（8%）钢板发生骨折。9块（25%）钢板外露，需进行手术干预。手术效果令人满意，尤其是在观察延迟愈合或长期耐受性时。这种重建的美学效果（79%的患者对结果评价为良好或可接受）和功能效果令人满意。
我们得出结论，重建钢板为预后不良或病情较差的患者提供了一种安全、快速的下颌骨重建解决方案。该方法还保留了二次重建的可能性。
重建钢板可能是安全、快速下颌骨重建的良好临床选择。
