Vertical Ridge Augmentation of Fibula Flap in Mandibular Reconstruction: A Comparison between Vertical Distraction, Double-Barrel Flap and Iliac Crest Graft.
Vertical Ridge Augmentation of Fibula Flap in Mandibular Reconstruction: A Comparison between Vertical Distraction, Double-Barrel Flap and Iliac Crest Graft.
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DOI：
10.3390/jcm10010101
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发表时间：
2020-12-30
影响因子：
3.9
通讯作者：
Salmerón Escobar JI
中科院分区：
文献类型：
--
作者：
Navarro Cuéllar C;Ochandiano Caicoya S;Navarro Cuéllar I;Valladares Pérez S;Fariña Sirandoni R;Antúnez-Conde R;Díez Montiel A;Sánchez Pérez A;López López AM;Navarro Vila C;Salmerón Escobar JI
采用双桶皮瓣、垂直撑开和髂嵴移植重建腓骨垂直高度。对24例腓骨瓣重建患者（每组8例）进行骨高度、骨吸收、种植成功率及放疗效果等方面的比较。垂直牵引、双管瓣和髂嵴的垂直骨增加分别为 12.5 ± 0.78 mm、18.5 ± 0.5 mm 和 17.75 ± 0.6 mm（p < 0.001）。种植体周围骨吸收分别为 2.31 ± 0.12 mm、1.23 ± 0.09 mm 和 1.43 ± 0.042 mm (p < 0.001)。双管瓣和垂直牵张之间以及髂嵴和垂直牵张之间的垂直骨重建和骨吸收存在显着差异（p < 0.001）。该研究没有显示种植失败的显着差异（p = 0.346）。放射治疗不影响垂直骨重建（p = 0.125）或骨吸收（p = 0.237），但显示放射治疗患者的种植失败率更高（p = 0.015）。与垂直牵张相比，双管瓣和髂嵴移植物具有更好的骨高度稳定性、更少的骨吸收和更高的种植成功率。放射治疗不会影响垂直骨重建，但会导致更高的种植失败率。
Double-barrel flap, vertical distraction and iliac crest graft are used to reconstruct the vertical height of the fibula. Twenty-four patients with fibula flap were reconstructed comparing these techniques (eight patients in each group) in terms of height of bone, bone resorption, implant success rate and the effects of radiotherapy. The increase in vertical bone with vertical distraction, double-barrel flap and iliac crest was 12.5 ± 0.78 mm, 18.5 ± 0.5 mm, and 17.75 ± 0.6 mm, (p < 0.001). The perimplant bone resorption was 2.31 ± 0.12 mm, 1.23 ± 0.09 mm and 1.43 ± 0.042 mm (p < 0.001), respectively. There were significant differences in vertical bone reconstruction and bone resorption between double-barrel flap and vertical distraction and between iliac crest and vertical distraction (p < 0.001). The study did not show significant differences in implant failure (p = 0.346). Radiotherapy did not affect vertical bone reconstruction (p = 0.125) or bone resorption (p = 0.237) but it showed higher implant failure in radiated patients (p = 0.015). The double-barrel flap and iliac crest graft showed better stability in the height of bone and less bone resorption and higher implant success rates compared with vertical distraction. Radiation therapy did not affect the vertical bone reconstruction but resulted in a higher implant failure.
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DOI：
10.1016/j.bjps.2012.10.005
发表时间：
2013-03-01
影响因子：
2.7
作者：
Shen, Yi;Guo, Xue-hua;Ow, Andrew
通讯作者：
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DOI：
10.1016/j.bjps.2011.12.035
发表时间：
2012-07-01
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