Olstad O A, Skjelbred P, Lyberg T
Kjevekirurgisk avdeling Kirurgisk klinikk, Ullevål sykehus, Oslo.
Tidsskr Nor Laegeforen. 1996 Aug 30;116(20):2431-5.
59 microvascular graft transfers performed in 50 patients in our department since 1985 have been studied retrospectively. The indications for microvascular reconstruction were sequelae after tumour surgery in 38 patients, gunshot injury in seven, chronic osteomyelitis of the mandible in three, complication after jaw fracture in one patient, and atrophy of the alveolar ridge also in one patient. Transplants from the iliac crest, fibula, radius, radial forearm skin and jejunum were used. Three transplants were lost because of arterial thrombosis, giving a success rate of 94.9%. Complications were registered in 19 cases, the largest group being wound infections. 21 of the 50 patients have been treated with dental implants for total rehabilitation of masticatory function. Transfer of free vascularized bone and soft tissue grafts has greatly improved the functional and cosmetic results obtained in reconstructive surgery of the orofacial region.
对1985年以来我科50例患者进行的59例微血管移植进行了回顾性研究。微血管重建的适应证为：38例肿瘤手术后的后遗症，7例枪伤，3例下颌骨慢性骨髓炎，1例颌骨骨折后的并发症，1例牙槽嵴萎缩。采用了取自髂嵴、腓骨、桡骨、前臂桡侧皮肤和空肠的移植物。3例移植物因动脉血栓形成而失败，成功率为94.9%。19例出现并发症，其中最大的一组是伤口感染。50例患者中有21例接受了牙种植体治疗，以全面恢复咀嚼功能。游离带血管骨和软组织移植物的移植大大改善了口腔颌面部重建手术的功能和美容效果。
