Likhterov Ilya, Roche Ansley M, Urken Mark L
Thyroid, Head and Neck Cancer Foundation, 10 Union Square East, Suite 5B, New York, NY 10003, USA; Department of Otolaryngology Head and Neck Surgery, Mount Sinai Beth Israel, 10 Union Square East, Suite 5B, New York, NY 10003, USA; Department of Otolaryngology Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029-6574, USA.
Department of Otolaryngology, Head and Neck Surgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health, 378 Seaview Avenue, 2nd Floor, Staten Island, NY 10305, USA.
Oral Maxillofac Surg Clin North Am. 2019 Feb;31(1):101-116. doi: 10.1016/j.coms.2018.08.005.
Cancers of the oral cavity and paranasal sinuses often require ablative surgery with adjuvant therapy in most cases. Large, postablative defects of the mandible and the maxilla present several challenges to the reconstructive surgeon. Functional and cosmetically satisfactory restoration requires a thorough understanding of the underlying disease process, a firm grasp of the nuances of head and neck anatomy, and an ability to plan and execute a reconstruction with the most suitable tissue for each particular patient. The authors outline the components of osseous reconstruction of the facial skeleton with a bias toward techniques and approaches that are particularly useful.
口腔和鼻窦癌在大多数情况下通常需要进行切除手术并辅以辅助治疗。下颌骨和上颌骨切除术后的大面积缺损给重建外科医生带来了诸多挑战。要实现功能和美观上令人满意的修复，需要深入了解潜在的疾病过程，牢牢掌握头颈部解剖结构的细微差别，以及具备为每位特定患者规划并实施最合适组织重建的能力。作者概述了面部骨骼骨重建的组成部分，重点介绍了特别有用的技术和方法。
