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髂骨复合瓣与前臂皮瓣串联重建大型下颌骨复合缺损
引用本文:南欣荣,唐友盛.髂骨复合瓣与前臂皮瓣串联重建大型下颌骨复合缺损[J].上海口腔医学,1998,7(1):28-30.
作者姓名:南欣荣  唐友盛
作者单位:上海第二医科大学口腔医学院口腔颌面外科教研室
摘    要:由于恶性肿瘤的根治性切除致下颌骨大型复合缺损3例,采用髂骨复合瓣与前臂皮瓣串联重建,其中1例切取双侧髂骨复合瓣。3例病人7块皮瓣全部成活,随访3~12月,供受区外形及功能结果较满意,经X摄片随访观察显示移植骨愈合改建过程迅速,骨吸收量少。结果表明,前臂皮瓣可弥补髂骨复合瓣携带皮岛的不足,两者串联应用是重建下颌骨大型复合缺损的一种理想方法。

关 键 词:髂骨复合瓣  前臂皮瓣  串联皮瓣  下颌骨重建

Mandibular reconstruction using "chain flaps" of iliac crest free flap and forearm free flap
Nan Xingrong,Tang Yousheng,Shen Guofang,et al..Mandibular reconstruction using "chain flaps" of iliac crest free flap and forearm free flap[J].Shanghai Journal of Stomatology,1998,7(1):28-30.
Authors:Nan Xingrong  Tang Yousheng  Shen Guofang  
Institution:Department of Oral and Maxillofacial Surgery,School of Stomatology,Shanghai Second Medical University.Shanghai 200011, China.
Abstract:Following ablation of oromandibular malignant neoplasms,3 patients underwent immediate mandibular reconstruction using "chain flaps". It was composed of iliac crest composite free flap (ICCFF).seven flaps of 3 cases survived completely,fOllow up ranged and donor sites were generally satisfactry.Consecutive X ray films showed that the grafting bone produed a more rapid processes of incorporation and bone remodling,and experienced minimal bony resorption.The results suggested that FFF could remedy defects of soft tissue component of ICCFF.It was an useful method that mandibular reconstruction of large composite defects using "chain flaps" of ICCFF and FFF.
Keywords:iliac  crest  free  flap      forearm  free  flap    chain  flaps    reconstraction  of  mandible  
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