Celebioglu S, Unlü R E, Koçer U, Sensöz O, Mengi A S
Department of Plastic and Reconstructive Surgery, Ankara Numune Hospital, Turkey.
Microsurgery. 1998;18(3):156-9. doi: 10.1002/(sici)1098-2752(1998)18:3<156::aid-micr4>3.0.co;2-j.
The fibula can be used as a donor for a free flap for mandible reconstruction. It has the advantages of low donor site morbidity, consistent shape, ample length, and distant location to enable a two-team approach, allowing multiple osteotomies because of its periosteal circulation. It can be raised with a skin island for composite tissue reconstruction. Eight segmental mandibular defects (average 11.62 cm) were reconstructed following resection for tumour. Six defects consisted of bone alone and the other two had only a small amount of associated intraoral soft-tissue loss. Two patients underwent primary reconstruction. We performed two or three osteotomies on each graft and used miniplates and wires for bone fixation. The flaps survived in all patients. All osteotomy sites healed primarily. The aesthetic result of reconstruction was satisfactory.
腓骨可作为游离皮瓣的供体用于下颌骨重建。它具有供区并发症发生率低、形状一致、长度足够以及位置较远便于采用双团队手术的优点，因其骨膜血供可进行多处截骨。可携带皮岛掀起用于复合组织重建。8例节段性下颌骨缺损（平均11.62厘米）在肿瘤切除后进行了重建。6例缺损仅为骨质，另外2例伴有少量口内软组织缺失。2例患者接受了一期重建。我们对每个移植物进行了两到三处截骨，并使用微型钢板和钢丝进行骨固定。所有患者的皮瓣均存活。所有截骨部位均一期愈合。重建的美学效果令人满意。
