Markowitz N R, Catone G A, Merrill R, Wolford D G, Hawkinson R
J Am Dent Assoc. 1979 Jun;98(6):943-6. doi: 10.14219/jada.archive.1979.0209.
A report of ten-year follow-up examinations of a patient who had a hemimandibulectomy with disarticulation because of fibrous dysplasia and immediate permanent reconstruction of the mandible with a Vitallium custom-cast prosthesis is presented. Careful preoperative planning, operative technique, and postoperative follow-up examinations are essential for successful maintenance of the prosthesis. Autogenic bone grafts are, in general, superior to alloplasts in permanent reconstruction of defects in mandibular continuity after resection. However, there are indications for alloplastic reconstruction when the condyle is disarticulated with the resection.
本文报告了一例因纤维发育异常行半侧下颌骨切除术并关节离断，随后立即用维他灵定制铸造假体进行下颌骨永久性重建患者的十年随访检查情况。精心的术前规划、手术技术及术后随访检查对于成功维持假体至关重要。一般而言，在切除术后下颌骨连续性缺损的永久性重建中，自体骨移植优于异体植入物。然而，当髁突与切除术一并离断时，存在异体植入物重建的指征。
