Reconstruction of a complex midfacial defect with the folded fibular free flap and osseointegrated implants.
Reconstruction of a complex midfacial defect with the folded fibular free flap and osseointegrated implants.
复制标题
用折叠腓骨游离瓣和骨整合种植体重建复杂的面中部缺损。
DOI：
10.1097/00000637-199608000-00017
复制
发表时间：
1996
影响因子：
1.5
通讯作者：
M. Pogrel
中科院分区：
文献类型：
--
作者：
J. Anthony;R. Foster;A. Sharma;G. Kearns;W. Hoffman;M. Pogrel
显微外科技术、钢板固定和骨整合的改进改变了面中部重建的概念性方法。游离组织移植已成为修复面中部复杂缺损的理想方法。本文介绍了应用折叠腓骨游离骨皮瓣一期修复腭部和眼眶缘骨的方法。腓骨游离组织瓣是修复面中部复杂缺损的首选方法。薄、软、易弯曲的组织是口腔内和腭部重建的理想选择。这种骨骼可以精确地定制，以适应任何所需的形状，并为眼眶和牙齿修复提供坚固的支撑。单瓣修复可快速、可靠地恢复面中部外观、眶支撑和腭部功能。
Refinements in microsurgical techniques, plate fixation, and osseointegration have changed the conceptual approach to midface reconstruction. Free tissue transfer has emerged as the ideal method of reconstructing complex midfacial defects. Single-stage bony restoration of the palate and orbital rim using the folded fibular osteocutaneous free flap is described. The fibular free flap is our first choice for reconstructing complex midfacial defects. The thin, soft, pliable tissue is ideal for intraoral and palatal reconstructions. The bone can be tailored precisely to fit any desired shape, and forms a sturdy support for both orbital and dental prostheses. With a single flap, rapid and reliable restoration of midfacial appearance, orbital support, and palatal function can be achieved.