运用腓骨组织瓣修复下颌骨缺损  

The utility of vascularized free fibula flap in mandibular reconstruction:A clinical report of 6 cases

作　　者：徐剑波[1] 刘胄[2] 陈峰[1] 董翠芳[1] 

机构地区：[1]阜阳市肿瘤医院头颈外科,236000 [2]阜阳市肿瘤医院骨科,236000

出　　处：《实用口腔医学杂志》2010年第2期272-274,共3页Journal of Practical Stomatology

摘　　要：对6例患者用腓骨瓣游离移植修复下颌骨缺损。手术采取血管吻合、坚固内固定方法恢复下颌骨形态及完整性。其中3例患者为单纯腓骨瓣移植,3例患者为携带肌皮瓣或皮瓣的腓骨瓣移植。6例患者平均随访6月～2年,成功率为100%。4例患者可正常进食,2例患者可进软食。5/6的患者面部外形的恢复达满意或较为满意。所有患者均能正常行走,无1例出现踝关节不稳定。带血管蒂的游离腓骨组织瓣具有其它自体骨组织瓣不可比拟的优点,是下颌骨缺损修复重建的最佳方法之一。6 cases（2 males to 4 females） who have received mandibula reconstruction with free vascularized fibular flaps in our hospital were studied retrospectively. The average length of the fibula grafts was 8.0 era（ range from 7.0 to 14 era）. 3 cases received primary insertion of osteointegrated dental implants into the free fibula flap. The mean follow-up of six cases of patients was 3 months to 1 year. The success rate was 100%. All patients spoke clearly. 4 patients could eat normally, the other two could eat soft food. 5/6 of patients with the recovery of facial appearance was satisfied. All patients were able to walk normally. No ankle unstability was reported. Vascularized free fibula flap is confirmed to be one of the optimal methods for mandible reconstruction by our study.

关 键 词：下颌骨重建 游离移植 腓骨瓣 

分 类 号：R782[医药卫生—口腔医学]