Martin D, Mondie J M, De Biscop J, Schott H, Peri G
Service de Stomatologie, Chirurgie Maxillo-faciale et Chirurgie Plastique de la face, Hôtel-Dieu, Clermont-Ferrand.
Rev Stomatol Chir Maxillofac. 1988;89(5):281-7.
The authors present five cases where the OCLAF technique was adapted to reconstruct large mandibular defects. Some significant advantages made us think about the possibility of the OCLAF as an acceptable alternative in that specific case. These are the ease and safety of the dissection, the respect of a bony vascularisation, a very valuable pedicle size, and a remarkable mobility of the skin paddle to the underlying bone. Of course we had to face some minor disadvantages: the microsurgical procedure, the donor site scar, the absence of cancellous bone in the transfer and the weakening of the bone shaft at the donor site. Nevertheless we think the OCLAF is to be considered whenever large mandibular defects have to be reconstructed with vascularized bone.
作者介绍了5例采用OCLAF技术修复大型下颌骨缺损的病例。一些显著的优势让我们思考在该特定病例中OCLAF作为一种可接受替代方案的可能性。这些优势包括解剖操作的简便性和安全性、对骨血管化的保留、非常有价值的蒂部尺寸以及皮瓣相对于其下方骨骼的显著活动性。当然，我们也不得不面对一些小缺点：显微外科手术、供区瘢痕、移植骨中缺乏松质骨以及供区骨干部位的骨质削弱。尽管如此，我们认为只要需要用带血管蒂骨修复大型下颌骨缺损，就应考虑使用OCLAF技术。
