Oromandibular reconstruction using a fibula osteocutaneous free flap: Four different "preplating" techniques
Oromandibular reconstruction using a fibula osteocutaneous free flap: Four different "preplating" techniques
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DOI：
10.1097/01.prs.0000233211.54505.9a
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发表时间：
2006-09-01
影响因子：
3.6
通讯作者：
Campobassi, Angelo
中科院分区：
文献类型：
--
作者：
Marchetti, Claudio;Bianchi, Alberto;Campobassi, Angelo
背景资料：部分完全扩大切除后的口下颌骨重建的目的是重建正常形态，下颌骨轮廓尽可能与原始下颌骨相似，并恢复口腔。口下颌骨重建可以采用腓骨游离皮瓣结合预植技术进行。方法：采用4种不同的方法对18例下颌骨缺损患者进行钛板预塑形。8例患者，保留下颌骨外侧皮质骨，采用前庭前板技术。在一名患者中，内部皮质骨未受影响，使用了舌侧预接骨技术。当肿瘤同时累及内外侧时，8例采用双前板技术，1例采用Luhr入路。下颌骨的连续性得到恢复，咀嚼肌和口腔肌肉锚定到钛板上，导致良好的咬合和功能rehabilitation.Conclusion：preplating技术结合腓骨微血管游离皮瓣是一种有用的，可预测的方法口下颌骨重建。
Background: The aim of oromandibular reconstruction following a partially fully extended resection is to recreate the normal morphology with a mandibular profile as similar as possible to the original and to restore oral Oromandibular reconstruction can be performed with fibula free flaps combined with the preplating technique. The authors report experience using the preplating technique for oromandibularMethods: Four different methods can be used to mold the titanium plate will be used in reconstruction against the existing mandible before The preplating technique was used in 18 patients between 1998 and 2003. eight patients, the external cortical bone of the mandible was spared by tumor and the vestibular preplating technique was used. In one patient, internal cortical bone was unaffected and the lingual preplating technique used. When the tumor affected both the internal and external cortical the double preplating technique was adopted in eight cases and Luhr's proach was used in one case.Results: A good cosmetic appearance was obtained through the accurate reconstruction of the inferior mandibular border. Mandible continuity was restored, and the masticatory and oral muscles were anchored to the titanium plate, resulting in good occlusal and functional rehabilitation.Conclusion: The preplating technique combined with a fibula microvascular free flap is a useful, predictable method for oromandibular reconstruction.