Xavier Samuel Porfírio, Pontes Cássio de Barros, Silva Erick Ricardo, Santos Thiago de Santana, Zatiti Salomão Chade, de Mello Filho Francisco Veríssimo
Department of Oral and Maxillofacial Surgery and Periodontology, Ribeirão Preto Dental School, São Paulo, Brazil.
J Craniofac Surg. 2013 Jan;24(1):e87-8. doi: 10.1097/SCS.0b013e3182713809.
Firearm injuries in the lower jaw may cause significant loss of hard and soft facial tissues, resulting in aesthetic and functional deformity. In this article, we present a case of a patient who suffered avulsion of the soft and hard tissues of the left mandible body and symphysis. After the emergency treatment, the patient was referred to our service, and the treatment was performed in 3 stages: surgical reconstruction with vascularized fibula flap, distraction osteogenesis, and dental implant rehabilitation. During 5 years of follow-up period, the aesthetic and functional condition of the patient improved considerably.
下颌部的火器伤可能导致面部软硬组织大量缺失，从而造成美观和功能上的畸形。在本文中，我们介绍了一例患者，其左下颌骨体部和颏部的软硬组织发生了撕脱伤。经过急诊处理后，该患者被转至我们科室，治疗分三个阶段进行：采用带血管腓骨瓣进行手术重建、牵张成骨以及牙种植修复。在5年的随访期内，患者的美观和功能状况有了显著改善。
