血管化复合组织瓣修复全上颌骨缺损的临床进展  

Progress on reconstruction of total maxillary defects with vascularized osseous composite flap

作　　者：于淼[1] 秦兴军[1] 徐立群[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院·口腔医学院口腔颌面-头颈肿瘤科,上海市口腔医学重点实验室,上海200011

出　　处：《中国口腔颌面外科杂志》2015年第3期273-279,共7页China Journal of Oral and Maxillofacial Surgery

摘　　要：上颌骨、软腭、颊等组成的面中份结构不仅支撑面部外形、决定个人的面容,同时参与完成咀嚼、吞咽、语音和维持正常视觉等重要功能。因此,上颌骨重建是头颈部缺损修复中最复杂、最有争议的临床课题之一,其中以保留眶内容物的全上颌骨缺损(James BrownⅢb类)重建尤为困难。本文对保留眶内容物全上颌骨缺损的血管化复合组织瓣的修复重建目标、方法选择以及相关问题作一综述。The importance of the central portion of the face, including the maxilla, cheek, palate, cannot be underestimated. This portion of the face provides much of the facial appearance,as well as supports the function of mastication, deglutition,speech and normal vision. So reconstruction of a mid-facial defect is one of the most complex and controversial tasks in head and neck reconstructive surgery, among which reconstruction of total maxillary defects with preservation of orbital contents（James Brown Class Ⅲb） is the most difficult. In the present article, we reviewed the goals of total maxillary reconstruction, the methods to reconstruct the total maxillary defects with vascularized osseous composite flaps and issues related to bone reconstruction.

关 键 词：全上颌骨缺损 腓骨瓣 髂骨瓣 肩胛骨瓣 

分 类 号：R782.2[医药卫生—口腔医学]