Harashina T, Nakajima H, Imai T
Plast Reconstr Surg. 1978 Oct;62(4):514-22. doi: 10.1097/00006534-197810000-00003.
Two cases of hemimandibular reconstructions with revascularized free rib grafts are presented. The viability of the transplants was confirmed by bone scans and biopsy, even though the main nutrient vessels providing the intramedullary blood flow were not included in these grafts (and only the periosteal circulation was utilized). The removal of a rib graft without the nutrient vessel eliminates the need for a complicated posterior dissection, close to the costovertebral joint. Revascularized free bone grafts have a greater chance of survival, provide more rapid healing, offer less risk of absorption, and are more resistant to infection than conventional bone grafts.
本文介绍了两例采用带血管蒂游离肋骨移植进行半侧下颌骨重建的病例。尽管这些移植骨中未包含提供骨髓血流的主要营养血管（仅利用了骨膜循环），但通过骨扫描和活检证实了移植骨的存活。去除不带营养血管的肋骨移植骨无需在靠近肋椎关节处进行复杂的后路解剖。带血管蒂游离骨移植比传统骨移植有更大的存活机会，愈合更快，吸收风险更小，且更抗感染。
