Wilson G W, Bosack R C
Division of Oral and Maxillofacial Surgery, Cook County Hospital, Chicago, Illinois.
J Oral Maxillofac Surg. 1988 Feb;46(2):138-42. doi: 10.1016/0278-2391(88)90266-2.
A case is presented that describes a method of mandibular reconstruction using a costochondral graft for replacement of the condyle that is attached to a dacron-urethane tray filled with particulate bone and marrow harvested from the ilium and secured to the distal mandibular segment with stainless steel wire. The requirements of graft immobilization and early return to function were met by initially using maxillomandibular fixation and then using external pin fixation with a small hinge incorporated into the acrylic bar. The advantages of using a dacron-urethane tray as opposed to a metallic tray are described, and the use of costochondral grafts is reviewed.
本文介绍了一个病例，描述了一种使用肋软骨移植进行下颌骨重建的方法，用于替换髁突，该肋软骨移植连接到一个填充有从髂骨采集的颗粒状骨和骨髓的涤纶-聚氨酯托盘上，并用不锈钢丝固定到下颌骨远端节段。通过最初使用颌间固定，然后使用带有小铰链的丙烯酸杆进行外固定针固定，满足了移植固定和早期恢复功能的要求。描述了使用涤纶-聚氨酯托盘相对于金属托盘的优点，并对肋软骨移植的使用进行了综述。
