Tarsitano A, Battaglia S, Sandi A, Marchetti C
Maxillofacial Surgery Unit, S. Orsola-Malpighi Hospital, Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum University of Bologna, Italy.
SINTAC s.r.l. Biomedical Engineering, Trento, Italy.
Acta Otorhinolaryngol Ital. 2017 Jun;37(3):195-200. doi: 10.14639/0392-100X-1250.
The gold standard for mandibular reconstruction is universally recognised and consists of the replacement of the bony part of the mandible with a bony microvascular free flap supported by a reconstructive plate. Although this procedure is feasible and reproducible in most patients, at times poor oncological prognosis or poor performance status force surgeons to consider other reconstructive solutions. In these cases, the main alternative in reconstructing a mandibular defect is represented by bridging plates combined with soft tissue flaps. However, repairing a mandibular defect with a reconstructive plate only can lead to a series of diverse complications. The most frequent complications reported are rupture and oral exposure of the plate. In this paper, we describe a new method for mandibular reconstruction using a customised bridging mandibular prosthesis (CBMP) without bone free flap.
下颌骨重建的金标准已得到广泛认可，即采用带重建钢板支撑的骨游离微血管皮瓣替代下颌骨的骨质部分。尽管该手术在大多数患者中可行且可重复，但有时肿瘤预后不佳或身体状况较差会迫使外科医生考虑其他重建方案。在这些情况下，下颌骨缺损重建的主要替代方法是联合软组织瓣使用桥接钢板。然而，仅用重建钢板修复下颌骨缺损会导致一系列不同的并发症。报道最常见的并发症是钢板断裂和钢板外露。在本文中，我们描述了一种使用定制桥接下颌骨假体（CBMP）且不采用游离骨皮瓣的下颌骨重建新方法。
