Yamano Y
Department of Orthopaedic Surgery, Osaka City University Medical School, Japan.
Osaka City Med J. 1994 Jul;40(1):43-52.
The mandible was reconstructed using 12 and 13-cm-long vascularized fibular grafts in 2 cases of extensive defects due to resection of the anterolateral portion of the mandible for the removal of bone Tumors. The straightness and hardness of the fibula allowed it to be given a two-dimensional curvature. The reconstructed mandibles were satisfactory both aesthetically and functionally. Large defects of the mandible cause distortion of the face and trouble with mastication. Treatment of massive mandibular defects by conventional bone grafting often ends in failure because of bone resorption, and for this reason, vascularized bone grafts are appropriate. We report here in 4 cases of the reconstruction of the jaw (Table 1) and the detail of the reconstruction with the use of vascularized fibular grafts is presented for the 2 cases of extensive anterolateral mandibular defects.
对于2例因切除下颌骨前外侧部分以去除骨肿瘤而导致广泛缺损的病例，使用12厘米和13厘米长的带血管腓骨移植进行下颌骨重建。腓骨的笔直度和硬度使其能够形成二维弯曲。重建后的下颌骨在美观和功能方面均令人满意。下颌骨的大缺损会导致面部变形和咀嚼困难。由于骨吸收，传统骨移植治疗大面积下颌骨缺损往往以失败告终，因此，带血管骨移植是合适的。我们在此报告4例颌骨重建病例（表1），并详细介绍2例广泛的下颌骨前外侧缺损病例使用带血管腓骨移植进行重建的情况。
