游离腓骨肌皮瓣修复下颌骨缺损患者13例临床分析  

Analysis of defection of mandibular by free vascularized fibular osteomyocutaneous flaps 13 cases

作　　者：李亚东[1] 杨海新[2] 王买全[1] 彭利伟[1] 

机构地区：[1]郑州大学人民医院口腔科,郑州450000 [2]郑州大学口腔医学院

出　　处：《医药论坛杂志》2011年第9期62-63,共2页Journal of Medical Forum

摘　　要：目的总结13例游离腓骨肌皮瓣修复下颌骨缺损病例,探讨其修复下颌骨缺损的经验。方法回顾分析2007年1月—2010年12月采用腓骨肌皮瓣一期修复13例因各种疾病造成的下颌骨缺损的临床资料。13例病例中男患者6例,女患者7例,年龄从24～63岁,平均年龄41岁。舌癌病例3例,口底癌病例4例,牙龈癌病例2例,成釉细胞瘤病例2例,大型牙源性角化囊肿病例1例,放射性骨坏死病例1例。13例游离腓骨肌皮瓣均携带皮岛,皮岛最大面积为10cm×4cm,最小面积为4cm×3cm,游离腓骨长度为5～13cm。结果 13例腓骨肌皮瓣均成活,患者获得满意的外形和功能结论游离腓骨肌皮瓣是修复下颌骨缺损的理想方法。Objective To summarize the experience of 13 cases reconstruction of mandibular by free vasculaiized fibular osteomyocutaneous flaps.Methods Review 13 cases of mandibular defection reconstruction by free vasculaiized fibular osteomyocutaneous flaps at stage 1 from Jan.2007 to Dec.2010.These cases consist of 6 males and 7 females,and the average age is 41（24～63）.the reason of mandibular defection including cancer of tougue（3 cases）,floor mouth（4 cases）,gum（2 cases）,ameloblastoma（2 cases）,odontogenic keratocyst（1 cases）,osteoradionecrosis（1 cases）.The size of free vasculaiized fibular osteomyocutaneous flaps is from 10cm×4cm to 4cm×3cm,and the length of fibular is from 5cm to 13cm.Results All the 13 cases of free vascularized fibular osteomyocutaneous flaps survived completely.The appearances and functions were satisfactory in all patients.Conclusions Free vasculaiized fibular osteomyocutaneous flaps is an ideal method of reconstruction of mandibular defection

关 键 词：腓骨肌皮瓣 修复 下颌骨缺损 

分 类 号：R782.2[医药卫生—口腔医学]