Ariyan S, Finseth F J
Plast Reconstr Surg. 1978 Nov;62(5):676-85. doi: 10.1097/00006534-197811000-00002.
Fresh cadaver dissections indicated that the anterior chest approach for obtaining a free osteocutaneous rib graft, based on the anterior intercostal vessels, would be feasible. Following this, a mandibular defect in radiated tissue was successfully repaired in one stage by a free osteocutaneous graft with microvascular anastomoses. A 22-cm segment of rib, with overlying muscle and skin measuring 10 X 30 cm, was transferred. Follow-up, with selective arteriography at 6 months, confirmed the belief that the periosteal blood supply alone could support the rib segment. The anterior chest approach, to obtain a free osteocutaneous rib graft, is easier, faster, and safer than the posterior approach.
新鲜尸体解剖表明，以前肋间血管为基础获取游离骨皮瓣肋骨移植的前胸入路是可行的。在此之后，通过微血管吻合的游离骨皮瓣一期成功修复了放射性组织中的下颌骨缺损。转移了一段22厘米长的肋骨，其上覆盖着面积为10×30厘米的肌肉和皮肤。6个月时进行选择性动脉造影的随访证实了仅骨膜血供就能维持肋骨段存活的观点。获取游离骨皮瓣肋骨移植的前胸入路比后入路更简便、快速且安全。
