Solomson R D, Balaban B, Akerson H A
J Oral Surg. 1981 Jul;39(7):533-4.
According to Bell, "the aim of bone grafting is to place a readily vascularizable osteogenic organic structure in intimate contact with a vascular osteogenic cancellous host bed." To accomplish these objectives, a tunneling procedure was developed. This technique provided a circumferentially intact vascular bed, which minimized the edema usually caused by interference with venous and lymphatic drainage. Together with adequate graft stabilization and maxillomandibular fixation, this surgical approach deceased shearing forces, permitted unimpeded capillary ingrowth, minimized hematoma and dead-space formation, and maximized the viability of the graft.
根据贝尔的说法，“骨移植的目的是将一个易于血管化的成骨有机结构与一个血管化的成骨松质宿主床紧密接触。”为了实现这些目标，开发了一种隧道技术。该技术提供了一个周向完整的血管床，最大限度地减少了通常因干扰静脉和淋巴引流而引起的水肿。连同足够的移植物固定和颌间固定，这种手术方法减少了剪切力，允许毛细血管不受阻碍地向内生长，最大限度地减少了血肿和死腔形成，并最大限度地提高了移植物的活力。
