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使用腓骨骨皮瓣重建下颌骨骨髓炎后的病理性骨折。

Reconstruction of a pathologic fracture following osteomyelitis of the mandible using a fibula osteocutaneous flap.

作者信息

Kim Taeki, Kim Junhyung, Choi Jaehoon, Jo Taehee, Shin Hyeong Chan, Jeong Woonhyeok

机构信息

Department of Plastic and Reconstructive Surgery, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.

Department of Pathology, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.

出版信息

Arch Craniofac Surg. 2021 Apr;22(2):105-109. doi: 10.7181/acfs.2020.00724. Epub 2021 Apr 20.

DOI:10.7181/acfs.2020.00724
PMID:33957736
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8107458/
Abstract

The use of a fibula osteocutaneous flap is currently the mainstay of segmental mandibular reconstruction. This type of flap is used to treat tumors, trauma, or osteoradionecrosis of the mandible. However, a fibula osteocutaneous flap may also be a good option for reconstructing the mandible to preserve oropharyngeal function and facial appearance in cases of pathological fracture requiring extensive segmental bone resection. Chronic osteomyelitis is one of the various causes of subsequent pathologic mandibular fractures; however, it is rare, and there have been few reports using free flaps in osteomyelitis of the mandible. We share our experience with a 76-year-old patient who presented with a pathologic fracture following osteomyelitis of the mandible that was reconstructed using a fibula osteocutaneous flap after wide segmental resection.

摘要

腓骨骨皮瓣的应用目前是节段性下颌骨重建的主要方法。这种皮瓣用于治疗下颌骨的肿瘤、创伤或放射性骨坏死。然而，对于因病理骨折需要广泛节段性骨切除的病例，腓骨骨皮瓣在重建下颌骨以保留口咽功能和面部外观方面也可能是一个不错的选择。慢性骨髓炎是继发病理性下颌骨骨折的多种原因之一；然而，它很罕见，关于在下颌骨骨髓炎中使用游离皮瓣的报道很少。我们分享一位76岁患者的经验，该患者因下颌骨骨髓炎后出现病理性骨折，在广泛节段性切除后使用腓骨骨皮瓣进行重建。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b072/8107458/44e63de79e1a/acfs-2020-00724f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b072/8107458/c7799556e11a/acfs-2020-00724f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b072/8107458/63f340c7c89c/acfs-2020-00724f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b072/8107458/f96884e226ad/acfs-2020-00724f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b072/8107458/1a70cf4c1268/acfs-2020-00724f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b072/8107458/3f20c95a03fb/acfs-2020-00724f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b072/8107458/44e63de79e1a/acfs-2020-00724f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b072/8107458/c7799556e11a/acfs-2020-00724f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b072/8107458/63f340c7c89c/acfs-2020-00724f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b072/8107458/f96884e226ad/acfs-2020-00724f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b072/8107458/1a70cf4c1268/acfs-2020-00724f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b072/8107458/3f20c95a03fb/acfs-2020-00724f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b072/8107458/44e63de79e1a/acfs-2020-00724f6.jpg

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