国际口腔医学杂志2017，Vol.44Issue(5)：576-579,4.DOI:10.7518/gjkq.2017.05.016
单段腓骨肌皮瓣在修复Ⅱ型上颌骨缺损中的应用
Subtotal maxillary reconstruction using one vascularized fibular osteomyocutaneous flap segment through modified lateral lip-submandibular approach
摘要
Abstract
Objective This study demonstrates subtotal maxillary reconstruction using one vascularized fibular osteomyocutaneous flap segment through the modified lateral lip-submandibular approach.Methods Eleven patients who were suffering from subtotal maxillary defects and who underwent maxillary reconstruction using one vascularized fibular osteomyocutaneous flap segment through modified lateral lip-submandibular approach were reviewed.Results Healing courses were uneventful in all cases;furthermore,acceptable maxillomandibular relationship,mouth opening,and speech were assessed as normal in all cases.No long-term functional limitation of the lower limb was reported even though all complained of big toe dysfunction,which eventually developed to a claw toe deformity.Other complications,such as diplopia,ectropion,facial paralysis,and sensory numbness in the lower lip,did not occur.Conclusion Subtotal maxillary reconstruction using one vascularized fibular osteomyocutaneous flap segment through the modified lateral lipsubmandibular approach is a feasible and acceptable technique because of multiple advantages.关键词
上颌骨次全切除术/改良口角颌下切口/腓骨肌皮瓣/三维模拟技术Key words
subtotal maxillary reconstruction/modified lateral lip-submandibular approach/vascularized fibular flap/three-dimensional virtual technology分类
医药卫生引用本文复制引用
娄慧全,王卫红,许彪,张伯俊..单段腓骨肌皮瓣在修复Ⅱ型上颌骨缺损中的应用[J].国际口腔医学杂志,2017,44(5):576-579,4.基金项目
云南省高等卫生技术学科带头人项目(D-201233).This study was supported by Program for Higher Health Technology Academic Leaders Project of Yunnan Province(D-201233). （D-201233）
