Shengwei Han, Zhiyong Wang, Qingang Hu, Wei Han
From the *Department of Oral and Maxillofacial Surgery, and †Central Laboratory of Stomatology, Stomatological Hospital Affiliated Medical School, Nanjing University, Nanjing, People's Republic of China.
J Craniofac Surg. 2014 Jul;25(4):1147-9. doi: 10.1097/SCS.0000000000000602.
The most complex area for reconstruction of the head and the neck is the maxilla and the midface because of the difficult anatomy of this region. This article aimed to describe our design for the reconstruction of the zygomaticomaxillary complex using an anterolateral thigh (ALT) flap combined with a rapid prototyping technology. Seven patients were involved in this study. All free ALT flaps survived, and the patients were satisfied with the results both esthetically and functionally 8 months after surgery. The free ALT flap with a titanium mesh made by rapid prototyping technology is a reliable option for the treatment of oncologic resections of the maxilla and other midface defects. This technique has a significantly shorter surgical time than conventional procedures, with good and predictable postoperative outcomes.
由于该区域解剖结构复杂，头颈部重建最复杂的部位是上颌骨和中面部。本文旨在描述我们使用股前外侧（ALT）皮瓣结合快速成型技术重建颧上颌复合体的设计。本研究纳入7例患者。所有游离ALT皮瓣均存活，术后8个月患者对美观和功能结果均满意。采用快速成型技术制作钛网的游离ALT皮瓣是治疗上颌骨肿瘤切除及其他中面部缺损的可靠选择。该技术手术时间明显短于传统手术，术后效果良好且可预测。
