Cheung L K, Samman N, Tideman H
Department of Oral and Maxillofacial Surgery, University of Hong Kong.
Ann R Australas Coll Dent Surg. 1994 Apr;12:244-51.
Reconstruction of the maxilla should aim to restore appearance, speech and occlusion. With modern reconstructive techniques and availability of an increasing variety of reliable tissue flaps, many of the traditional problems of treatment have been overcome. This paper reviews local and distant tissue flaps useful in rehabilitating an acquired maxillary defect of various dimensions. The local flaps discussed include flaps from the palate, cheek, tongue and the buccal fat pad. The distant flaps considered are the temporalis myofascial flap, pedicled cutaneous and myocutaneous flaps, and vascularized free flaps. Bony reconstruction of the maxilla with particular emphasis on restoring an anatomical alveolar ridge for occlusal rehabilitation by dental implants is presented.
上颌骨重建应旨在恢复外观、语音和咬合功能。随着现代重建技术的发展以及越来越多可靠组织瓣的出现，许多传统的治疗问题已得到解决。本文综述了可用于修复各种大小后天性上颌骨缺损的局部和远处组织瓣。所讨论的局部组织瓣包括来自腭部、颊部、舌部和颊脂垫的组织瓣。所考虑的远处组织瓣有颞肌筋膜瓣、带蒂皮瓣和肌皮瓣以及血管化游离组织瓣。本文还介绍了上颌骨的骨重建，尤其着重于通过牙种植体恢复解剖学牙槽嵴以进行咬合重建。
