Boyd J B
Department of Surgery, University of Toronto, Ontario, Canada.
Clin Plast Surg. 1994 Jan;21(1):69-77.
The plate-flap option has a place in oromandibular reconstruction: It allows an expedient method to obtain an excellent cosmetic and functional result with minimal donor site disability. It is best for lateral and posterior low-volume defects in the debilitated, the elderly, and in those patients with a poor prognosis. This technique may be used as a preliminary to vascularized bone grafts in patients receiving postoperative radiotherapy. This method is no panacea. These are very specific indications for its use. Failure usually requires rescue with a vascularized bone graft. With proper selection of patients, however, this will rarely be necessary. A major weakness in the plating systems available at present is their tendency to fracture if they remain in place too long. The gauntlet is, therefore, thrown down to those in a position to develop more reliable hardware.
它提供了一种便捷的方法，能够以最小的供区功能障碍获得出色的美容和功能效果。它最适用于体弱、老年以及预后较差患者的外侧和后部小面积缺损。在接受术后放疗的患者中，该技术可作为血管化骨移植的前期准备。此方法并非万灵药。其使用有非常特定的适应症。失败后通常需要采用血管化骨移植来补救。然而，通过正确选择患者，这种情况很少会发生。目前可用的接骨板系统的一个主要缺点是，如果放置时间过长，它们有断裂的倾向。因此，挑战摆在了那些有能力开发更可靠硬件的人面前。
