折叠腓骨移植修复下颌骨缺损的种植修复

[Implant restoration on folded fibular graft for the repair of mandibular defect].

作者信息

Gao N, Liu Y M, Fu K, He W

机构信息

Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.

Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China(present address: Department of Stomatology, Xinxiang Medical University, Xinxiang Henan 453003, China).

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2018 Jan 9;53(1):26-29. doi: 10.3760/cma.j.issn.1002-0098.2018.01.006.

DOI:10.3760/cma.j.issn.1002-0098.2018.01.006

PMID:29972960

Abstract

To discuss the key points of implant restoration on folded fibular graft for mandibular defect. Fifteen patients with mandibular ameloblastoma were treated by segmental resection of the mandible.The mandibular defect was reconstructed with vascularized folded fibular graft. Implant restoration on the graft was conduced 6-9 months after operation.The results were evaluated. All patients had no tenderness in the temporomandibular joint region. The mouth opening reached 3.1-3.9 cm and the occlusion relationship was good. There was no obvious abnormality in masticatory and swallowing function. After 12-48 months of follow-up, the implants were all survived. The application of folded fibula for both mandible defect repair and postoperative implant restoration could achieve satisfactory results in restoration of the facial appearance and physiological function of oral cavity.

摘要

探讨下颌骨缺损折叠腓骨移植种植修复的要点。15例下颌骨成釉细胞瘤患者行下颌骨节段性切除，采用带血管蒂折叠腓骨移植修复下颌骨缺损，术后6 - 9个月进行移植骨上的种植修复并评估效果。所有患者颞下颌关节区无压痛，张口度达3.1 - 3.9 cm，咬合关系良好，咀嚼及吞咽功能无明显异常。随访12 - 48个月，种植体均存活。折叠腓骨用于下颌骨缺损修复及术后种植修复，在恢复口腔面部外形及生理功能方面可取得满意效果。