Santler G, Kärcher H
Department für Mund-, Kiefer- und Gesichtschirurgie, Universitätsklinik für Zahn-, Mund- und Kieferheilkunde, Graz.
Fortschr Kiefer Gesichtschir. 1994;39:116-8.
In the time between October 1985 and April 1993 96 free vascularized bone transplantation were performed. We used iliac crest, scapular and rib grafts. The decision which donor site to use depends on several things. The pedicle of the transplant must be long at recipient sites like calvarium or upper jaw. In the lower jaw a long pedicle is needed only in cases one has to connect the vessels on the contralateral side. Scapula pedicled at the thoracodorsal artery with its long vessels is superior in these cases. Bone quality and soft tissue coverage have a great influence on the decision too. Localisation of the defect and position of the recipient vessels are the most important criteria in the choice of the donor site. So we suggest first to do the preparation of the defect and the recipient vessels and then decide the donor site.
在1985年10月至1993年4月期间，共进行了96例游离血管化骨移植手术。我们使用了髂嵴、肩胛骨和肋骨移植物。选择供区取决于几个因素。在颅骨或上颌等受区，移植蒂必须足够长。在下颌，只有在需要连接对侧血管的情况下才需要长蒂。在这些情况下，以胸背动脉为蒂且血管较长的肩胛骨更具优势。骨质和软组织覆盖情况对决策也有很大影响。缺损的位置和受区血管的位置是选择供区时最重要的标准。因此，我们建议先准备缺损和受区血管，然后再决定供区。
