Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine.
Division of Plastic Surgery, Texas Children's Hospital, Houston, TX.
J Craniofac Surg. 2023 May 1;34(3):1027-1030. doi: 10.1097/SCS.0000000000009091. Epub 2022 Nov 1.
A free fibular flap is commonly used in adult mandibular reconstruction; however, its use in the pediatric population is not strongly supported. The authors are reporting the long-term update of a case of a pediatric patient who underwent a mandibular reconstruction using a free fibular flap after a resection of mandibular desmoid fibromatosis. Greatest growth was objectively measured and demonstrated at the condyle using a 3-dimensional model generated from Materialise software. This is 1 case and subsequent studies should be observed to further elucidate the full growth potential of the mandible in pediatric patients undergoing mandibular reconstruction.
游离腓骨瓣常用于成人下颌骨重建,但在儿科人群中的应用并未得到充分支持。作者报告了 1 例采用游离腓骨瓣行下颌骨重建的儿童患者的长期随访结果,该患者因下颌骨促纤维组织增生症而行下颌骨切除术。采用 Materialise 软件生成的三维模型客观测量和显示髁突处的最大生长。这是 1 例病例,应进一步观察后续研究以阐明接受下颌骨重建的儿童患者下颌骨的全部生长潜力。