Tiftikcioglu Yigit Ozer, Gur Ersin, Bilkay Ufuk
Department of Plastic, Reconstructive and Aesthetic Surgery, Ege University Medical School, Izmir, Turkey.
J Craniofac Surg. 2017 Jun;28(4):e374-e376. doi: 10.1097/SCS.0000000000003688.
Ablative surgery of mandible often necessitates combined reconstruction of the mandible and the temporomandibular joint. Fibula-free flaps with gap arthroplasty or osseochondral grafts are common procedures in the authors' practice. In search for a better reconstructive option free fibula flap is used together with a metatarsal bone flap for the vascular reconstruction of the mandibular body and the condyle at the same time. The 2 osseous-free flaps have been fused and used as a combined flow through double-free flap. The literature has been reviewed for other reconstructive options, but no alternatives providing autologous reconstruction of both the mandible and the condyle with vascular tissue have been found. This is a preliminary report of this new technique which the authors humbly think is very promising.
下颌骨切除手术通常需要同时进行下颌骨和颞下颌关节的联合重建。在作者的临床实践中，带间隙关节成形术的游离腓骨瓣或骨软骨移植是常见的手术方法。为了寻找更好的重建方案，游离腓骨瓣与跖骨瓣同时用于下颌骨体和髁突的血管重建。这两个游离骨瓣已融合并用作联合穿通双游离瓣。作者查阅了文献以寻找其他重建方案，但未发现能同时用血管化组织对下颌骨和髁突进行自体重建的替代方法。这是这项新技术的初步报告，作者认为该技术很有前景。
