Richter M, Dulguerov P, Pittet B, Becker M
Department of Surgery, University Canton Hospital of Geneva, Switzerland.
J Craniofac Surg. 1997 Sep;8(5):383-90. doi: 10.1097/00001665-199708050-00010.
Two patients with recurrent parotid gland carcinoma required subtotal petrosectomy and infratemporal fossa type C approach. To achieve en bloc resection, the ascending mandibular ramus and the entire temporomandibular joint, including the adjacent temporal bone, were removed. An original technique for immediate reconstruction of the infratemporal region, including the glenoid fossa and the ramus of the mandible, is described. Rigid fixation, as well as good functional and aesthetic results, was achieved with autologous calvarial bone and full-thickness rib grafts, allowing the patients to mobilize their jaw very rapidly.
两名复发性腮腺癌患者需要进行颞骨次全切除术和颞下窝C型入路。为实现整块切除，切除了下颌升支和整个颞下颌关节，包括相邻的颞骨。本文描述了一种用于即时重建颞下区域（包括关节盂和下颌支）的原创技术。使用自体颅骨骨块和全层肋骨移植物实现了坚固固定以及良好的功能和美学效果，使患者能够很快活动其下颌。
