Parise Guilherme Klein, Guebur Maria Isabela, Ramos Gyl Henrique Albrecht, Groth Anne Karoline, da Silva Alfredo Benjamin Duarte, Sassi Laurindo Moacir
Multiprofessional Residency Program in Cancerology - Concentration Area in Oral Maxillofacial Surgery and Traumatology of the Erasto Gaertner Hospital, Rua Professora Olga Balster, 753, apto 102, Curitiba, Paraná, 82900-070, Brazil.
Oral and Maxillofacial Surgery and Traumatology Department, Erasto Gaertner Hospital, Curitiba, Paraná, Brazil.
Oral Maxillofac Surg. 2018 Sep;22(3):281-284. doi: 10.1007/s10006-018-0701-2. Epub 2018 May 25.
The mandibular defects caused by mandibulectomies can involve esthetic and functional sequelae in patients. The fibula presents positive aspects and can be used as an option for mandibular reconstruction after tumor resections or extensive traumas. Furthermore, this retrospective study of the patients who have passed through a mandibular reconstruction with a microvascular fibular flap over the last 17 years describes the experience of the Oral and Maxillofacial SurgeryService at the ErastoGaertner Hospital, Curitiba/PR. The use of this flap type has a complication rate of 32.3%, which includes the fixation material exposure, flap resorptions, fistulas, pathological fractures, tumor recurrence, infections, seromas, and thrombocytopenia. Most of them are associated with patients who have received radiotherapy and/or chemotherapy. These data suggest a high frequency of complications when a reconstruction plate fixation is used. Minor complications are usual and they should not be overlooked because they can lead to devastating consequences.
下颌骨切除术导致的下颌骨缺损会给患者带来美观和功能方面的后遗症。腓骨具有一些优势，可作为肿瘤切除或严重创伤后下颌骨重建的一种选择。此外，这项对过去17年中接受过微血管腓骨瓣下颌骨重建的患者的回顾性研究，描述了库里蒂巴/巴拉那州埃拉斯托·盖特纳医院口腔颌面外科的经验。使用这种皮瓣类型的并发症发生率为32.3%，包括固定材料外露、皮瓣吸收、瘘管、病理性骨折、肿瘤复发、感染、血清肿和血小板减少症。其中大多数与接受过放疗和/或化疗的患者有关。这些数据表明，使用重建钢板固定时并发症发生率较高。轻微并发症很常见，不应被忽视，因为它们可能导致严重后果。
