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游离腓骨瓣轴向劈开截骨术在下颌骨重建及牙列修复中的作用

Role of Axial Split Osteotomy of Free Fibula Flap in Mandibular Reconstruction and Dental Rehabilitation.

作者信息

Bolzoni Alessandro Remigio, Baj Alessandro, Sweed Ahmed Hassan, Giannì Aldo Bruno, Montrasio Edoardo Francesco, Beltramini Giada Anna

机构信息

Maxillofacial and Dental Unit of Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy.

Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, Milan, Italy.

出版信息

Plast Reconstr Surg Glob Open. 2020 Jan 20;8(1):e2546. doi: 10.1097/GOX.0000000000002546. eCollection 2020 Jan.

DOI:10.1097/GOX.0000000000002546
PMID:32095389
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7015618/
Abstract

The fibula free flap (FFF) is regarded as the gold standard in mandibular reconstruction. Dental rehabilitation is important to improve the health-related quality of life of patients undergoing mandibular reconstruction. FFF provides adequate cortical bone osseous tissue for use in dental implantation. The application of "axial split osteotomy" via a double-barrel fibula graft may enable discrepancies between the native mandible and FFF to be avoided, thereby improving the likelihood of early and successful dental rehabilitation.

摘要

游离腓骨瓣（FFF）被视为下颌骨重建的金标准。牙修复对于改善接受下颌骨重建患者的健康相关生活质量很重要。FFF提供了足够的皮质骨骨组织用于牙种植。通过双筒腓骨移植应用“轴向劈开截骨术”可以避免天然下颌骨与FFF之间的差异，从而提高早期成功进行牙修复的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5849/7015618/298ac1f52c56/gox-8-e2546-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5849/7015618/094e376a9acf/gox-8-e2546-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5849/7015618/00c0c094fe97/gox-8-e2546-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5849/7015618/cbce57924de7/gox-8-e2546-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5849/7015618/298ac1f52c56/gox-8-e2546-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5849/7015618/094e376a9acf/gox-8-e2546-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5849/7015618/00c0c094fe97/gox-8-e2546-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5849/7015618/cbce57924de7/gox-8-e2546-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5849/7015618/298ac1f52c56/gox-8-e2546-g004.jpg

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本文引用的文献

1
Implant rehabilitation in fibula-free flap reconstruction: A retrospective study of cases at 1-18 years following surgery.腓骨游离皮瓣重建术后种植体修复：18 年随访回顾性研究。
J Craniomaxillofac Surg. 2017 Oct;45(10):1655-1661. doi: 10.1016/j.jcms.2017.06.021. Epub 2017 Jul 8.
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Versatility of Fibula Free Flap in Reconstruction of Facial Defects: A Center Study.游离腓骨瓣在面部缺损重建中的多功能性：一项中心研究。
J Maxillofac Oral Surg. 2017 Mar;16(1):101-107. doi: 10.1007/s12663-016-0930-6. Epub 2016 Jun 9.
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Prefabricated fibular flaps for reconstruction of defects of the maxillofacial skeleton: planning, technique, and long-term experience.
预制腓骨皮瓣在颌面部骨缺损重建中的应用：规划、技术和长期经验。
Int J Oral Maxillofac Implants. 2013 Sep-Oct;28(5):e221-9. doi: 10.11607/jomi.te01.
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Sagittal split osteotomy of the fibula for modeling the new mandibular angle.腓骨矢状劈开截骨术用于塑造新的下颌角。
J Craniofac Surg. 2013 Jan;24(1):71-4. doi: 10.1097/SCS.0b013e318271018b.
5
Fibula free flap reconstruction of the mandible in cancer patients: evaluation of a combined surgical and prosthodontic treatment concept.癌症患者下颌骨的游离腓骨瓣重建：联合外科手术与口腔修复治疗理念的评估
Oral Oncol. 2008 Jun;44(6):571-81. doi: 10.1016/j.oraloncology.2007.07.005. Epub 2007 Oct 15.
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Clinical outcome of dental implants placed in fibula-free flaps used for the reconstruction of maxillo-mandibular defects following ablation for tumors or osteoradionecrosis.用于肿瘤切除或放射性骨坏死所致上颌-下颌骨缺损重建的腓骨游离皮瓣种植牙的临床疗效。
Clin Oral Implants Res. 2006 Apr;17(2):220-8. doi: 10.1111/j.1600-0501.2005.01212.x.
7
"Axial split osteotomy" of free fibular flaps for mandible reconstruction: preliminary results.用于下颌骨重建的游离腓骨瓣“轴向劈开截骨术”：初步结果
Plast Reconstr Surg. 2001 Aug;108(2):332-5. doi: 10.1097/00006534-200108000-00007.
8
Interface analysis of titanium implants in a human vascularized fibula bone graft.人血管化腓骨骨移植中钛植入物的界面分析
J Oral Maxillofac Surg. 2001 Feb;59(2):213-6. doi: 10.1053/joms.2001.20498.
9
Use of the "double barrel" free vascularized fibula in mandibular reconstruction.“双筒”游离带血管腓骨在下颌骨重建中的应用。
J Oral Maxillofac Surg. 1998 Jan;56(1):38-44. doi: 10.1016/s0278-2391(98)90914-4.
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Oral rehabilitation with endosteal implants and free flaps.采用骨内种植体和游离皮瓣进行口腔修复
Int J Oral Maxillofac Surg. 1996 Feb;25(1):3-12. doi: 10.1016/s0901-5027(96)80004-x.