Kerscher A, Hoffmeister B, Kreusch T
Klinik für Mund-, Kiefer- und Gesichtschirurgie, Klinikum der Christian-Albrechts-Universität Kiel.
Fortschr Kiefer Gesichtschir. 1994;39:82-4.
Nowadays the exclusive intraoral approach is standard in the operative treatment of mandibular fractures. However there is still scepticism in the selection of the intraoral approach for mandibular reconstruction. Between 1980 and 1992 we performed in 21 patients mandibular reconstructions by rib or iliac bone grafts after resections of benign tumors in the mandible. One transplant was lost, the remaining transplants were incorporated without problems. According to our results the exclusive intraoral approach of primary mandibular reconstructions by free bone-grafts after removal is a reliable procedure.
如今,单纯口内入路是下颌骨骨折手术治疗的标准方法。然而,在选择口内入路进行下颌骨重建时仍存在疑虑。1980年至1992年间,我们对21例下颌骨良性肿瘤切除术后的患者采用肋骨或髂骨移植进行下颌骨重建。1例移植骨失败,其余移植骨顺利愈合。根据我们的结果,切除术后采用游离骨移植进行一期下颌骨重建的单纯口内入路是一种可靠的方法。