Uemura Tetsuji, Yanai Tetsu, Yasuta Masato, Harada Yoshimi, Morikawa Aya, Watanabe Hidetaka, Kurokawa Masato
Department of Plastic and Reconstructive Surgery, Saga University Hospital, Saga, Japan.
Department of Plastic and Reconstructive Surgery, Kumamoto Red Cross Hospital, Kumamoto, Japan.
Craniomaxillofac Trauma Reconstr. 2017 Jun;10(2):123-129. doi: 10.1055/s-0036-1597915. Epub 2017 Mar 1.
In situ splitting of rib bone graft was conducted in 22 patients for the repair of orbital fracture with no other complicating fractures. A bone graft was harvested from the sixth or seventh rib in the right side. The repair of the orbital floor and medial wall was successful in all the cases. Ten patients had bone grafting to the orbital floor, eight had it done onto medial wall, and 4 onto both floor and wall after reduction. The mean length of in situ rib bone graft was 40.9 mm (range, 20-70 mm), the mean width of these was 14.9 mm (range, 8-20 mm). The bone grafting was done by one leaf for 15 cases and two leafs for 7 cases in size of defects. The technique of in situ splitting of a rib bone graft for the repair of the orbital floor and medial wall is a simple and safe procedure, easily taking out the in situ splitting of a rib, and less pain in donor site. It has proved to be an optimal choice in craniofacial reconstruction, especially the defects of orbital floor and medial wall.
对22例无其他并发骨折的眼眶骨折患者进行了原位劈开肋骨植骨修复。从右侧第六或第七肋骨获取骨移植材料。所有病例的眶底和眶内壁修复均成功。10例患者对眶底进行了植骨，8例对眶内壁进行了植骨，4例在复位后对眶底和眶内壁均进行了植骨。原位肋骨植骨的平均长度为40.9毫米（范围20 - 70毫米），平均宽度为14.9毫米（范围8 - 20毫米）。根据缺损大小，15例采用单叶植骨，7例采用双叶植骨。原位劈开肋骨植骨修复眶底和眶内壁的技术是一种简单安全的手术，易于取出原位劈开的肋骨，供区疼痛较轻。它已被证明是颅面重建尤其是眶底和眶内壁缺损修复的最佳选择。
