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游离复合腹股沟皮瓣修复下颌前部缺损

Free compound groin flap reconstruction of anterior mandibular defect.

作者信息

Panje W R

出版信息

Arch Otolaryngol. 1981 Jan;107(1):17-22. doi: 10.1001/archotol.1981.00790370019003.

DOI:10.1001/archotol.1981.00790370019003
PMID:7008755
Abstract

The free compound groin flap has been used to reconstruct anterior mandibular defects in four patients. The bone grafts have remained viable despite being placed in irradiated and contaminated fields. Partial intraoral exposure of two of the bone grafts did not interfere with their viability. Positive technetium Tc 99m pyrophosphate scanning, histology, and tetracycline labeling of the bony part of the composite flap indicate the maintenance of osseous viability without a transitory substitution phase for bone remodeling as seen in conventional bone grafts. Bone viability as it relates to blood supply of the free osteocutaneous groin flap is discussed.

摘要

游离复合腹股沟皮瓣已用于4例患者的下颌骨前部缺损重建。尽管骨移植被置于放疗和污染区域,但仍保持存活。其中两块骨移植的部分口内暴露并未影响其存活。复合皮瓣骨部分的锝Tc 99m焦磷酸盐扫描、组织学检查和四环素标记显示,骨活力得以维持,且未出现传统骨移植中可见的骨重塑的短暂替代期。本文讨论了与游离骨皮腹股沟皮瓣血供相关的骨活力。

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