Chassagne J F, Brice M, Dinh Doan G, Brice M, Maxant P, Flot F
Rev Stomatol Chir Maxillofac. 1985;86(3):180-8.
Conventional methods for reconstruction of the mandible require an adequately vascularized receiving bed and total absence of cutaneous and mucosal fluid loss. These conditions are rarely attained during immediate reconstructive surgery and secondary operations are very often of doubtful outcome because of previous infection. A part from the treatment of small post-traumatic loss of substance by means of iliac or costal bone grafts, it is suggested that free osteo (musculo) cutaneous grafts be used for other cases. The flap preferred is one from the anterior iliac crest pediculated on the deep iliac circumflex vessels.
传统的下颌骨重建方法需要有血运良好的受区床，且皮肤和黏膜无液体丢失。在即刻重建手术中很少能满足这些条件，并且由于先前的感染，二次手术的效果往往难以确定。除了通过髂骨或肋骨移植治疗小面积创伤后骨质缺损外，建议在其他情况下使用游离骨（肌）皮瓣移植。首选的皮瓣是带旋髂深血管蒂的髂前嵴皮瓣。
