Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterial and Digital Medical Devices, Beijing, China.
Head Neck. 2023 Oct;45(10):2544-2554. doi: 10.1002/hed.27478. Epub 2023 Aug 2.
The purpose of this study was to investigate the effect of anterior superior iliac spine (ASIS) preservation on donor site morbidity and function after harvesting a vascularized iliac bone flap (VIBF).
Patients who underwent jaws reconstruction with VIBF were divided into a maintaining the anterior superior iliac spine (MASIS) group and a not maintaining the anterior superior iliac spine (NMASIS) group. Pain, tenderness, sensory deficit, gait disturbance, and function of the donor site were evaluated before and after the operation.
Thirty-three patients were included in this study, of which 18 were in the MASIS group. The incidence of sensory deficit in the MASIS group was significantly lower than that in the NMASIS group (50.0% vs. 86.7%, p = 0.010). Pain, tenderness, gait disturbance, and function did not differ statistically between the two groups.
Except for sensory deficit, ASIS preservation has minimal impact on donor site morbidity and function.
本研究旨在探讨在游离髂骨瓣（VIBF）采集后，保留前上髂嵴（ASIS）对供区发病率和功能的影响。
将接受 VIBF 进行颌骨重建的患者分为保留前上髂嵴（MASIS）组和不保留前上髂嵴（NMASIS）组。分别在手术前后评估供区疼痛、压痛、感觉缺失、步态障碍和功能。
本研究共纳入 33 例患者，其中 MASIS 组 18 例。MASIS 组感觉缺失的发生率明显低于 NMASIS 组（50.0%比 86.7%，p=0.010）。两组间疼痛、压痛、步态障碍和功能无统计学差异。
除感觉缺失外，保留 ASIS 对供区发病率和功能影响较小。
