Khachatryan Levon, Khachatryan Grigor, Hakobyan Gagik
MedicalCenter MIM (Medical Center of Maxillofacial and Plastic Surgery).
Department of Oral and Maxillofacial Surgery, Yerevan State Medical University after M. Heratsi.
J Craniofac Surg. 2018 Nov;29(8):2214-2217. doi: 10.1097/SCS.0000000000005015.
This study is based on an analysis of the results of treatment of 21 patients with mandibular defects of different localization and etiology who underwent reconstruction with fibula free flap. Postoperative clinical and radiographic controls were made regularly, the criteria for implant success were assessed.The postoperative evolution of the patients was favorable, with the integration of the fibula vascularized grafts. Complete engraftment of bone autografts and wound healing was obtained in all observations. In all 21 patients, fibula flaps provided adequate conditions for implant placement. The coefficient of osteointegration of implants 3 years after bone grafting was 97%.Using a vascularized autograft from the fibula to replace the defects of the lower jaw provides the conditions for a full rehabilitation of patients. The methods of reconstructive surgery and implantation make it possible to successfully perform the replacement of defects in the maxillofacial region, being one of the methods medical and social rehabilitation of patients with this pathology.
本研究基于对21例不同部位和病因的下颌骨缺损患者行游离腓骨瓣重建治疗结果的分析。定期进行术后临床和影像学检查，评估种植体成功的标准。患者术后进展良好，腓骨带血管移植物实现整合。所有观察病例均实现骨自体移植物完全植入和伤口愈合。在所有21例患者中，腓骨瓣为种植体植入提供了充分条件。骨移植3年后种植体的骨整合系数为97%。采用腓骨带血管自体移植物替代下颌骨缺损为患者全面康复创造了条件。重建手术和种植方法使成功修复颌面区域缺损成为可能，是患有这种病症患者医疗和社会康复的方法之一。
