Conley J
Trans Sect Otolaryngol Am Acad Ophthalmol Otolaryngol. 1976 Jul-Aug;82(4):ORL 447-51.
A new technique of bony and soft tissue augmentation to the mandible, face, and neck is presented. It consists of a composite soft tissue flap from the anterior chest, including two ribs attached and transposed without delay to the newly prepared tissue bed. The distal portion of this flap is de-epithelialized for soft tissue augmentation to the face. The ribs are wired to the mandible, and the flap is released in six to eight weeks. At that time, the proximal segment is de-epithelialized for further augmentation. The soft tissue mass is supported against gravity for three to four months with a chin strap. It is desirable to use this concept as a secondary procedure rather than associating it with the primary ablative technique. One can expect significant improvement in esthetics and contour from this technique.
介绍了一种用于下颌骨、面部和颈部的骨与软组织增强新技术。它由取自前胸的复合软组织瓣组成，包括附着的两根肋骨，并立即转移至新准备的组织床。该瓣的远端去上皮化用于面部软组织增强。肋骨用金属丝固定在下颌骨上，瓣在六至八周后松开。此时，近端部分去上皮化以进行进一步增强。用下巴托将软组织团块支撑三至四个月以对抗重力。最好将此概念用作二期手术，而不是将其与一期切除技术联合使用。通过该技术有望在美学和轮廓方面取得显著改善。
