Bloom C Y, Achauer B M, Tesoro V E, Pulver J
Plast Reconstr Surg. 1984 May;73(5):820-3. doi: 10.1097/00006534-198405000-00018.
A patient with a 29-year history of denture wearing had her mandible augmented with a vascularized rib graft. The rib was contoured to fit the arch of the mandible and vascularized by means of the facial arteries to the intercostal vessels. The nutrient artery was not included in the vascularized bone graft. Cortical cancellous bone chips were packed around the rib to augment the buccal surface of the rib graft. Periosteal perfusion and vascularity of the transferred rib were well documented at 1 week, 1 month, and 6 months postoperatively by radionuclide scintigraphy. It is now 24 months after surgery and the patient began wearing a denture 2 months after the rib transfer. She underwent a split-thickness skin graft vestibuloplasty and floor-of-the-mouth lowering 12 months following the rib transfer with improvement in her denture-wearing capabilities, which has remained constant for 10 months. Vertical resorption of the graft at 3 months was 10 percent, at 6 months 15 percent, and it has stabilized at 25 percent.
一位佩戴假牙29年的患者接受了带血管蒂肋骨移植下颌骨增高术。将肋骨塑形以贴合下颌骨弓，并通过面动脉与肋间血管建立血运。带血管蒂骨移植未包含滋养动脉。在肋骨周围填充皮质松质骨碎片以增大肋骨移植的颊侧表面。术后1周、1个月和6个月通过放射性核素闪烁扫描对移植肋骨的骨膜灌注和血运情况进行了充分记录。现已术后24个月，患者在肋骨移植后2个月开始佩戴假牙。肋骨移植12个月后，她接受了分层皮片移植前庭成形术和口底降低术，佩戴假牙的能力有所改善，并在10个月内保持稳定。移植骨在3个月时垂直吸收10%，6个月时吸收15%，目前稳定在25%。
