Zanaret M, Bardot J, Thomassin J M, Dessi P, Magalon G, Cannoni M, Pech A
Service ORL, Groupe hospitalier de la Timone, Chemin de l'Armée d'Afrique, Marseille.
Ann Otolaryngol Chir Cervicofac. 1988;105(1):59-67.
Mandibular reconstruction in 6 patients was by free flap from iliac crest in pelvi-mandibulectomies. The different technics proposed for mandibular reconstruction are described with emphasis on the specificity of repair surgery in cervicofacial oncology. In this precise indication stress is placed on the limitations of conventional graft and endoprosthesis procedures and the need to transfer a vascularized bone fragment. Among the technics for transfer of vascularized bone, preference is accorded to the composite flap from iliac crest as against the osteo-musculo-cutaneous flap, and details for removal of the former are given. The osteo-musculo-cutaneous flap from iliac crest appears to be the procedure of choice for reconstruction of bone in all cases where mandibular reconstruction is necessary after loss of continuity.
6例患者行骨盆下颌骨切除术时，采用取自髂嵴的游离皮瓣进行下颌骨重建。本文描述了下颌骨重建所采用的不同技术，重点强调了颌面肿瘤修复手术的特殊性。在此明确适应症中，强调了传统移植和内置假体手术的局限性以及移植带血管骨块的必要性。在带血管骨转移技术中，相较于骨-肌肉-皮瓣，更倾向于采用髂嵴复合皮瓣，并给出了前者的切取细节。髂嵴骨-肌肉-皮瓣似乎是连续性丧失后需要进行下颌骨重建的所有病例中骨重建的首选方法。
