Lello G E
J Oral Maxillofac Surg. 1986 Nov;44(11):864-70. doi: 10.1016/0278-2391(86)90223-5.
The intraoral reconstruction of mandibular defects resulting from tumor resection with autogeneic iliac bone is described. Large pieces of pelvis can be harvested and split sagittally for lengthening or altering the direction and shape of the body or angle of the reconstructed mandible. A graft taken from the iliac tubercle region can be used for satisfactory reshaping of the chin area. Delays in reconstruction, if necessary, should be of short duration, and a fabricated Kirschner wire splint with fixation screws, or a Kirschner wire and acrylic condyle may serve to counteract scar retraction prior to grafting. Esthetic and functional results have been good, and postoperative complications have been minimal.
描述了用自体髂骨对肿瘤切除导致的下颌骨缺损进行口腔内重建。可获取大块骨盆骨并沿矢状面劈开，用于延长或改变重建下颌骨体部的方向和形状或下颌角。取自髂结节区域的移植物可用于满意地重塑颏部区域。如有必要，重建延迟应短暂，并且在植骨前，带有固定螺钉的预制克氏针夹板或克氏针和丙烯酸髁可用于对抗瘢痕挛缩。美学和功能效果良好，术后并发症极少。
