Earley M J
Plastic and Reconstructive Surgery Centre, St Lawrence Hospital, Chepstow.
Br J Plast Surg. 1989 Nov;42(6):628-37. doi: 10.1016/0007-1226(89)90073-8.
Eleven patients who underwent primary maxillary reconstruction following cancer excision are presented. Low partial and high partial maxillectomies are recognised, as are the more radical excisions. Skin grafts, a temporalis muscle flap, free radial forearm flaps, single paddle, double paddle and triple paddle latissimus dorsi free flaps and a latissimus serratus, rib composite flap have been utilised. Oncological aspects and secondary reconstructive problems are detailed. Six patients have survived; three have died of recurrent disease and two of myocardial infarction some time after surgery.
本文介绍了11例癌症切除术后接受上颌骨一期重建的患者。认识到了低位部分上颌骨切除术、高位部分上颌骨切除术以及更彻底的切除术。已使用了皮肤移植、颞肌瓣、游离桡侧前臂瓣、单叶、双叶和三叶背阔肌游离瓣以及背阔肌锯齿肌肋骨复合瓣。详细阐述了肿瘤学方面及二期重建问题。6例患者存活；3例死于复发性疾病，2例在术后一段时间死于心肌梗死。
