Tokiwa N, Nakajima T, Miyazato O, Kajikawa Y, Kato H, Manba S, Yokobayashi T
J Oral Surg. 1977 May;35(5):380-6.
A case of a traumatic defect of the maxilla is described. The patient sustained an injury in the middle third of his face that involved loss of the anterior portion of the maxilla, the alveolus from the right molar to the left premolar region, and the anterior two thirds of the hard palate with comminuted fractures of the adjacent bones. The resulting defect was successfully closed by means of a skin-tube pedicle and cartilage graft. The discomfort and difficulties in swallowing and speech as well as masticatory disturbance were much improved. The grafted skin took on an appearance similar to oral mucosa and the follow-up examination a year later showed a well-functioning palate. The cartilage, however, seemed to be undergoing resorption.
本文描述了一例上颌骨创伤性缺损病例。患者面部中三分之一处受伤，累及上颌前部、右侧磨牙至左侧前磨牙区域的牙槽以及硬腭的前三分之二，相邻骨骼粉碎性骨折。通过带蒂皮管和软骨移植成功封闭了由此产生的缺损。吞咽、言语不适及困难以及咀嚼障碍均有明显改善。移植的皮肤外观类似口腔黏膜，一年后的随访检查显示腭功能良好。然而，软骨似乎正在被吸收。
