| 游离腓骨复合瓣下颌骨重建时供区侧下肢的选择 |
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| 引用本文： | 毛驰,俞光岩,彭歆,张雷,郭传瑸,黄敏娴.游离腓骨复合瓣下颌骨重建时供区侧下肢的选择[J].中华口腔医学杂志,2007,42(11):684-686. |
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| 作者姓名： | 毛驰 俞光岩 彭歆 张雷 郭传瑸 黄敏娴 |
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| 作者单位： | 北京大学口腔医学院·口腔医院口腔颌面外科,100081 |
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| 摘 要： | 目的探讨下颌骨重建采用游离腓骨复合瓣时供区侧下肢的选择原则。方法回顾分析1999年5月至2007年4月期间完成的602例游离腓骨复合瓣下颌骨重建的病例，依据血管蒂和皮岛的位置将腓骨瓣的就位方式分成4类（Ⅰ～Ⅳ类）。结果602例中Ⅰ类424例、Ⅱ类71例、Ⅲ类63例、Ⅳ类44例。18例腓骨瓣术后出现血管危象，8例经抢救获得成功，腓骨瓣的临床成功率为98．3％。结论术前评估下颌骨缺损的范围、受区血管的位置及软组织缺损的部位和范围，有助于正确设计腓骨瓣就位时血管蒂和皮岛的位置，从而选择合适的供区侧下肢。
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| 关 键 词： | 外科 整形 外科皮瓣 修复外科手术 |
| 修稿时间： | 2007-05-14 |
Donor side selection in mandibular reconstruction using the free fibular osteocutaneous flap |
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| MAO Chi,YU Guang-yan,PENG Xin,ZHANG Lei,GUO Chuan-bin,HUANG Min-xian.Donor side selection in mandibular reconstruction using the free fibular osteocutaneous flap[J].Chinese Journal of Stomatology,2007,42(11):684-686. |
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| Authors: | MAO Chi YU Guang-yan PENG Xin ZHANG Lei GUO Chuan-bin HUANG Min-xian |
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| Institution: | Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing 100081, China |
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| Abstract: | OBJECTIVE: To form algorithm to select the correct donor side in mandibular reconstruction using free fibular flap. METHODS: Six hundred and two consecutive cases of mandibular reconstruction using free fibular flap from May of 1999 to April of 2007 were reviewed. RESULTS: There were 424 cases in type I, 71 cases in type II, 63 cases in type III, and 44 cases in type IV. Eighteen flaps experienced vessel thrombosis after operation. The overall successful rate of free fibula flap was 98.3%. CONCLUSIONS: Close attention to both the geometric locations of vascular pedicles and skin paddles facilitates correct selection of fibula donor side. |
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| Keywords: | Surgery plastic Surgical flaps Recontructive surgical procedures |
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