摘要
目的 应用血管化髂骨肌瓣联合同期牙种植修复下颌骨体部缺损，以利尽早恢复下颌骨的外形及咀嚼功能。方法 对12例下颌骨体部肿瘤受侵患者行一侧下颌骨节断性切除，同期血管化髂骨肌瓣重建并植入牙种植体，总共32枚，术后义齿修复。结果 所有病例髂骨瓣移植均获成功，种植体与移植骨骨性结合，术后随访8-42个月，均无肿瘤复发，颌面形态佳，咀嚼咬合力恢复良好，临床效果满意。结论 血管化髂骨肌瓣同期牙种植体植入术是下颌骨体部缺损功能重建的理想方案。
OBJECTIVE To reconstruct the man-dibular body defect by using free vascularized iliac bonegraft combined with immediate dental implantation forearly rehabilitation of mandible continuity and mastica-tory function. METHODS 12 free vascularized iliac bonegraft were transferred to achieve mandibular contourrehabilitation for patients performed segmentalmandibulectomy due to tumors involving the body ofmandible, a total of 32 ITI dental implants were insertedsimultaneously, and the prosthesis were placed aftermonths later. RESULTS All the vascularized bone graftswere survived, and the osseointegration was observedat the bone-to-implant contact. No recurrence of tu-mor was noticed during the 8~42 months of follow-upperiod, the masticatory function was well recovered,and the facial contour was acceptable. CONCLUSIONFree vascularized iliac bone graft transplantation com-bined with immediate dental implantation maybe a goodprotocol for functional reconstruction of mandibular bodydefect.[
出处
《中国耳鼻咽喉头颈外科》
2004年第5期289-292,共4页
Chinese Archives of Otolaryngology-Head and Neck Surgery
关键词
血管化髂骨肌瓣
同期牙种植体
修复
下颌骨体部缺损
Mandibular Presthesis Implantation
Re-constructive Surgical Procedures
Surgical Flap
