采用折叠腓骨游离皮瓣和骨整合种植体修复复杂的面中部缺损。

Reconstruction of a complex midfacial defect with the folded fibular free flap and osseointegrated implants.

作者信息

Anthony J P, Foster R D, Sharma A B, Kearns G J, Hoffman W Y, Pogrel M A

机构信息

Division of Plastic and Reconstructive Surgery, University of California at San Francisco 94115-1632, USA.

出版信息

Ann Plast Surg. 1996 Aug;37(2):204-10. doi: 10.1097/00000637-199608000-00017.

DOI:10.1097/00000637-199608000-00017

PMID:8863985

Abstract

Refinements in microsurgical techniques, plate fixation, and osseointegration have changed the conceptual approach to midface reconstruction. Free tissue transfer has emerged as the ideal method of reconstructing complex midfacial defects. Single-stage bony restoration of the palate and orbital rim using the folded fibular osteocutaneous free flap is described. The fibular free flap is our first choice for reconstructing complex midfacial defects. The thin, soft, pliable tissue is ideal for intraoral and palatal reconstructions. The bone can be tailored precisely to fit any desired shape, and forms a sturdy support for both orbital and dental prostheses. With a single flap, rapid and reliable restoration of midfacial appearance, orbital support, and palatal function can be achieved.

摘要

显微外科技术、钢板固定和骨整合的改进改变了中面部重建的概念性方法。游离组织移植已成为重建复杂中面部缺损的理想方法。本文描述了使用折叠腓骨骨皮游离皮瓣对腭部和眶缘进行单阶段骨性修复。腓骨游离皮瓣是我们重建复杂中面部缺损的首选。这种薄、软且柔韧的组织是口腔内和腭部重建的理想选择。骨可以精确塑形以适应任何所需形状，并为眼眶和牙修复体提供稳固支撑。使用单一皮瓣即可快速可靠地恢复中面部外观、眼眶支撑和腭部功能。