CURRENT ROLE OF THE ILIAC CREST FLAP IN MANDIBULAR RECONSTRUCTION
CURRENT ROLE OF THE ILIAC CREST FLAP IN MANDIBULAR RECONSTRUCTION
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DOI：
10.1002/micr.20929
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发表时间：
2011-11-01
期刊：
影响因子：
2.1
通讯作者：
Hayashi, Ryuichi
中科院分区：
文献类型：
--
作者：
Miyamoto, Shimpei;Sakuraba, Minoru;Hayashi, Ryuichi
本研究的目的是研究髂骨骨皮瓣在下颌骨重建中的当前作用，重点是其皮岛的可靠性。我们回顾了18例即刻应用髂骨瓣重建下颌骨的结果。13例(髂骨瓣组)采用髂骨皮瓣岛状缝合口内粘膜缺损，5例(双瓣组)因髂骨皮岛血供不畅而采用另一种游离组织瓣缝合。髂骨瓣组术后效果较差。皮岛部分或全部缺损率，髂骨瓣组为46.2%，双瓣组为20.0%。优势穿通支的存在并不能降低受体部位并发症或再次手术的总体发生率。另一种皮瓣联合应用于口内衬里效果较好。这些结果表明，除非能证实有足够的皮岛供血，否则不应将髂骨瓣的皮岛用于口腔内衬里。如果血液循环有问题，强烈建议联合使用另一种皮瓣。(C)2011 Wiley期刊，Inc.显微外科31：616-619,2011。
The purpose of this study was to examine the current role of the iliac crest osteocutaneous flap in mandibular reconstruction, with a focus on the reliability of its skin island. We reviewed outcomes in 18 cases of immediate mandibular reconstruction with the iliac crest flap. Intraoral mucosal defects were closed with the skin island of the iliac crest flap in 13 patients (iliac crest flap group) and were closed with another free flap, because of poor circulation of the iliac crest skin island, in five patients (double-flap group). Postoperative results were poor in the iliac crest flap group. The rate of partial or total loss of the skin island was 46.2% in the iliac crest flap group and 20.0% in the double-flap group. The presence of a dominant perforator did not reduce the overall rate of recipient-site complications or reoperation. Combined use of another skin flap for intraoral lining provided better results. These results suggest that the skin island of the iliac crest flap should not be used for intraoral lining, unless adequate circulation of the skin island can be confirmed. If the circulation is questionable, combined use of another skin flap is strongly recommended. (C) 2011 Wiley Periodicals, Inc. Microsurgery 31: 616-619, 2011.