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下颌骨重建手术的时机、结果及并发症:32例报告

Timing, results, and complications of mandibular reconstructive surgery: report of 32 cases.

作者信息

Adamo A K, Szal R L

出版信息

J Oral Surg. 1979 Oct;37(10):755-63.

PMID:383922
Abstract

Sufficient information concerning the difficulties encountered in reconstructive surgery is rarely provided in the literature. This study, which was performed on 32 patients, points out a high rate of complication; major and minor complications were encountered in 68.8% of the patients. Benign and traumatic lesions caused the fewest problems. Malignant lesions, particularly those receiving radiotherapy, had the greatest incidence of complications. Successful reconstruction was accomplished in 75% of the cases. The use of a corticocancellous autogenous graft is suggested in selected cases of malignant disease.

摘要

文献中很少提供关于重建手术中遇到困难的充分信息。这项对32例患者进行的研究指出并发症发生率很高;68.8%的患者出现了严重和轻微并发症。良性和创伤性病变引起的问题最少。恶性病变,尤其是接受放疗的病变,并发症发生率最高。75%的病例成功完成了重建。对于某些恶性疾病病例,建议使用皮质松质自体移植物。

相似文献

1
Timing, results, and complications of mandibular reconstructive surgery: report of 32 cases.下颌骨重建手术的时机、结果及并发症:32例报告
J Oral Surg. 1979 Oct;37(10):755-63.
2
Endosseous implant and autogenous bone graft reconstruction of mandibular discontinuity: a 12-year longitudinal study of 31 patients.下颌骨连续性中断的骨内种植体与自体骨移植重建:对31例患者的12年纵向研究
Int J Oral Maxillofac Implants. 1998 Nov-Dec;13(6):767-80.
3
[Long-term complications of radiotherapy after mandibular reconstruction with vascularized bnoe graft].[带血管蒂骨移植下颌骨重建术后放疗的远期并发症]
Schweiz Med Wochenschr. 2000;Suppl 125:109S-111S.
4
[Reconstruction of extensive mandibular defects with the use of Osteo-Mesh and a bone graft. A preliminary report].
Minerva Stomatol. 1989 Oct;38(10):1059-63.
5
Reconstruction of defects of the mandible.
Surgery. 1976 Jun;79(6):638-43.
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[Evaluation of the usefulness of autogenic bone grafts in reconstruction of the mandible].[自体骨移植在下颌骨重建中的应用价值评估]
Ann Acad Med Stetin. 1995;41:155-69.
7
[Delayed results of osteoplasty of the mandible].[下颌骨成形术的延迟结果]
Vestn Khir Im I I Grek. 1971 Oct;107(10):86-90.
8
Mandibular replacements.下颌骨置换物。
J Oral Surg. 1970 Aug;28(8):593-5.
9
[Complications of post-irradiation radiotherapy mandibular resection: problems of reconstruction (author's transl)].[放射治疗后下颌骨切除术后的并发症:重建问题(作者译)]
Acta Chir Belg. 1980 Jan-Feb;79(1):21-6.
10
[Reconstruction of severe loss of mandibular bone substance using metal prostheses].[使用金属假体修复下颌骨严重骨量缺失]
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