北京大学学报（医学版）2011，Vol.43Issue(1)：18-21,4.DOI:10.3969/j.issn.1671-167X.2011.01.004
应用游离腓骨复合组织瓣行功能性重建上颌骨缺损
Functional maxillary reconstruction with free composite fibula flap
彭歆 1马大权 1孟兆强 2张雷 1毛驰 1俞光岩 1郭传殡 1黄敏娴 1张益 1马莲 1邓旭亮 2林野2
作者信息
- 1. 北京大学口腔医学院·口腔医院口腔颌面外科,北京,100081
- 2. 北京大学口腔医学院·口腔医院特诊科,北京,100081
- 折叠
摘要
Abstract
Maxillary defects resulting from tumor resection or trauma can cause severe functional and cosmetic deformities. Maxillary reconstruction has long been a challenge for oral maxillofacial surgeons. Functional maxillary reconstruction with vascularized composite bone flap and osseointegrated implants is one of the most important improvements in head and neck reconstructive surgery. Since 1999, our research group has performed a comprehensive reseach on functional maxillary reconstruction with free composite fibula flap. Clinical data of the patients with maxillary reconstruction using free fibula flap were analyzed to describe the indications and principles of perioperative period of this technique. The modified free fibula flexor-hallucis longus myofascial flap was introduced, which could ovemome the disadvantages of traditional free composite fibula flap. The donor site morbidity, post-operative speech outcome, mastication function, and quality of life were evaluated objectively. The biomechanical effects of stress distribution on maxilla reconstructed by free fibula composite flap were analyzed by three-dimensional finite element analysis. These studies demonstrated maxillary defects can be reconstructed successfully using free fibula flaps. This procedure also allows dental implant or conventional denture rehabilitation, which can improve the patient' s appearance and oral function and enhance the overall quality of life. The fibula free flap transfer has a high success rate and low perioperative complication rate, making it an ideal choice for maxillary defect reconstruction.关键词
外科皮瓣/腓骨/上颌骨/骨重建Key words
Surgical flaps/ Fibula/ Maxilla/ Bone Remodeling分类
医药卫生引用本文复制引用
彭歆,马大权,孟兆强,张雷,毛驰,俞光岩,郭传殡,黄敏娴,张益,马莲,邓旭亮,林野..应用游离腓骨复合组织瓣行功能性重建上颌骨缺损[J].北京大学学报（医学版）,2011,43(1):18-21,4.
