Ekanayake Kumara, Thomas Deepak G, Brennan Peter A
Consultant/Associate Professor, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri Lanka; Dublin Dental University Hospital, Dublin, Ireland.
J Oral Maxillofac Surg. 2013 Oct;71(10):1724-8. doi: 10.1016/j.joms.2013.06.195. Epub 2013 Aug 1.
The reconstruction of noncontiguous bilateral mandibular defects using a single bony free flap is rarely performed because such defects are seldom encountered. This report describes the reconstruction of a bilateral body defect caused by shrapnel injury. A free vascularized osteomyocutaneous fibula flap was designed to replace 2 mandibular defects in the patient. The midportion of the fibula was resected without damage to the periosteum and vascular pedicle, and a skin paddle was used to monitor the flap. This would appear to be the first report of its use in the reconstruction of bilateral mandibular defects from trauma.
使用单一游离骨瓣修复非连续性双侧下颌骨缺损的情况很少见，因为这种缺损很少遇到。本报告描述了一例由弹片伤导致的双侧下颌骨体部缺损的修复。设计了带血管蒂的游离腓骨肌皮瓣来修复患者的两处下颌骨缺损。腓骨中段在不损伤骨膜和血管蒂的情况下被切除，并使用皮瓣监测该瓣。这似乎是首次报道使用该方法修复创伤性双侧下颌骨缺损。
