Ewers R
Department of Oral and Maxillofacial Surgery, Kiel University Medical School, West Germany.
Plast Reconstr Surg. 1988 Mar;81(3):431-6. doi: 10.1097/00006534-198803000-00021.
A new technique is shown for a one-stage reconstruction of the mucosa of the floors of the nose and maxillary sinus, the bone structures of the maxilla and the hard palate, as well as the mucosal layers of the hard and soft palates and vestibulum. To accomplish this coverage, a vascularized calvarial bone graft with temporal muscle from one side is combined with a vascularized temporal muscle flap from the other side to achieve a three-layer "sandwich" plasty. The advantage of this procedure is reconstruction of the complete maxillary defect with the possibility of denture rehabilitation and the avoidance of oronasal fenestration. Besides the possible complication of insufficient vascularization of the bone and muscle grafts, the donor defect in the calvarial bone and the missing muscle for mastication are to be considered.
展示了一种新技术，用于一期重建鼻底和上颌窦黏膜、上颌骨和硬腭的骨结构，以及硬腭、软腭和前庭的黏膜层。为实现这种覆盖，将一侧带颞肌的带血管颅骨骨瓣与另一侧带血管颞肌瓣相结合，以完成三层“三明治”成形术。该手术的优点是可重建完整的上颌骨缺损，有可能进行义齿修复，并避免口鼻开窗。除了骨和肌肉移植物血管化不足的可能并发症外，还应考虑颅骨供区缺损和咀嚼肌缺失的问题。
