Niederhagen B, Hültenschmidt D, Krumholz K, Krüger E
Klinik und Poliklinik für MKG-Chirurgie der Universität Bonn.
Fortschr Kiefer Gesichtschir. 1994;39:76-8.
119 avascular osseous transplants from the iliac crest were used for mandibular reconstruction. In case of irradiation we prepared the region of transplantation by using myocutaneous flaps. We lost 2.5% of our transplants. Analysing the orthopantomogram after a special method regarding reproducibility, we found a loss of height of the transplant of about 30% in the middle term. During rigid fixation of the transplant in the first 3 month, there was the biggest loss of height. Transplants ending free in the region of the TMJ showed less consistency than transplants interposed between original mandibular bone.
119块取自髂嵴的无血管骨移植用于下颌骨重建。对于接受过放疗的患者，我们采用肌皮瓣来准备移植区域。我们的移植骨有2.5%出现失败。通过一种关于可重复性的特殊方法分析曲面断层片后，我们发现在中期移植骨高度损失约30%。在移植骨固定后的前3个月内，高度损失最大。在颞下颌关节区域游离端的移植骨比置于原下颌骨之间的移植骨稳定性更差。
