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钛网联合带蒂颊脂垫修复上颌骨缺损：病例报告

Titanium mesh and pedicled buccal fat pad for the reconstruction of maxillary defect: case report.

作者信息

Yoon Joo-Hyung, Park Young-Wook, Kim Seong-Gon

机构信息

Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University, Jukheon gil 7, Gangneung, Gangwondo, 25457, Republic of Korea.

出版信息

Maxillofac Plast Reconstr Surg. 2021 Mar 17;43(1):10. doi: 10.1186/s40902-021-00295-6.

DOI:10.1186/s40902-021-00295-6
PMID:33730262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7969670/
Abstract

BACKGROUND

Pedicled buccal fat pad (PBFP) has been used for the reconstruction of small-sized maxillary defects but cannot be used without hard tissue support on the defect larger than 4 cm × 4 cm × 3 cm.

CASE PRESENTATION

A 64-year-old man had a history of squamous cell carcinoma of the left maxilla. After removal of the posterior maxilla, a complex bone defect (size, 5 cm × 4 cm × 3 cm) was immediately reconstructed using PBFP combined with a titanium mesh. A pinpoint fistula was found in the left palatal region 1 month after the surgery and was treated with a palatal sliding flap. There were no further complications during the follow-up.

CONCLUSION

The present technique demonstrated that PBFP combined with a titanium mesh could be used for the reconstruction of complex maxillary defect (size, 5 cm × 4 cm × 3 cm) without additional bone graft.

摘要

背景

带蒂颊脂垫（PBFP）已被用于小型上颌骨缺损的重建，但对于大于4 cm×4 cm×3 cm的缺损，若没有硬组织支撑则无法使用。

病例介绍

一名64岁男性有左上颌鳞状细胞癌病史。在切除上颌后部后，使用PBFP联合钛网立即对复杂骨缺损（尺寸为5 cm×4 cm×3 cm）进行了重建。术后1个月在左侧腭部区域发现一个针尖样瘘管，采用腭部滑行瓣进行治疗。随访期间无进一步并发症发生。

结论

目前的技术表明，PBFP联合钛网可用于复杂上颌骨缺损（尺寸为5 cm×4 cm×3 cm）的重建，无需额外植骨。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/7969670/f794579d65f6/40902_2021_295_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/7969670/e4506618da4b/40902_2021_295_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/7969670/618551c22c9a/40902_2021_295_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/7969670/9a2b2bed7b1c/40902_2021_295_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/7969670/a132705cfdb9/40902_2021_295_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/7969670/c2bd38047809/40902_2021_295_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/7969670/7821132e1ebc/40902_2021_295_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/7969670/f794579d65f6/40902_2021_295_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/7969670/e4506618da4b/40902_2021_295_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/7969670/618551c22c9a/40902_2021_295_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/7969670/9a2b2bed7b1c/40902_2021_295_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/7969670/a132705cfdb9/40902_2021_295_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/7969670/c2bd38047809/40902_2021_295_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/7969670/7821132e1ebc/40902_2021_295_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/7969670/f794579d65f6/40902_2021_295_Fig7_HTML.jpg

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