Sclaroff A, Haughey B, Gay W D, Paniello R
Department of Otolaryngology, Washington University School of Medicine.
Oral Surg Oral Med Oral Pathol. 1994 Dec;78(6):711-7. doi: 10.1016/0030-4220(94)90085-x.
The outcomes of surgical reconstruction for patients who have undergone extensive tumor resection of the mandible and associated soft tissue have been less than desirable for many reasons: lack of cancer cure, radiation problems, as well as inadequate functional reconstructive results. These patients traditionally have undergone multiple surgical procedures for restoration of the surgical deformity. With the advent of new donor sites and successful transfer of microvascular hard and soft tissue, one can restore the largest defects created during cancer excision. Combining these techniques with biocompatible dental implants and reconstructive bone plates, technology has advanced to the point of predictable outcomes. The restoration of appearance, mandibular function, and mastication is mandated by patients. Dental implants are now placed in vascularized bone reconstruction of the mandible immediately at the time of ablative surgery. This obviates the need for additional surgical reconstructive procedures, adjunctive hyperbaric oxygen therapy, and problems associated with the placement of dental implants in irradiated tissue.
对于接受了下颌骨及相关软组织广泛肿瘤切除的患者，外科重建的效果因多种原因不尽人意：无法治愈癌症、存在放疗问题以及功能重建效果欠佳。传统上，这些患者需要接受多次外科手术来修复手术造成的畸形。随着新供区的出现以及微血管化软硬组织成功移植，人们能够修复癌症切除过程中造成的最大缺损。将这些技术与生物相容性牙种植体和重建骨板相结合，技术已经发展到可以实现可预测结果的程度。患者要求恢复外观、下颌功能和咀嚼功能。现在，在切除手术时立即将牙种植体植入下颌骨的血管化骨重建部位。这避免了额外的外科重建手术、辅助高压氧治疗以及在放疗组织中植入牙种植体相关的问题。
