华西口腔医学杂志2025，Vol.43Issue(2)：212-219,8.DOI:10.7518/hxkq.2025.2024292
口内入路行下颌骨良性肿瘤切除游离腓骨移植同期种植体植入的临床分析
Clinical analysis of mandibular tumor resection with free fibula transplantation and implant implantation via the intraoral approach
摘要
Abstract
Objective To investigate the clinical application of the digital-assisted reconstruction of the mandible and tumors with free fibula transplantation and immediate implantation via the intraoral approach.Methods Twelve pa-tients with benign mandibular tumors were collected.Three-dimensional mandibular reconstruction was performed digi-tally before surgery to simulate mandibular tumor resection,fibula resection and reconstruction,and implant implanta-tion.The intraoperative resection of the mandibular tumor was conducted through the intraoral approach under the guid-ance of a guide plate,and fibula resection,molding,re-construction,and oral fixation were immediately per-formed.Implant implantation was performed during the second phase of implant surgery and denture restoration was performed 1-2 months after surgery.Results The types of mandibular defects were BrownⅠ(one case),Ⅰc(four cases),Ⅱ(one case),Ⅱc(three cases),and Ⅲ(three cases).The length of the fibular bone was 12-22 cm.The number of fibular molding amputations was as follows:two cases in two segments,six cases in three segments,three cas-es in four segments,and one case in five segments.All of these cases underwent folding fibular reconstruction of mandib-ular and alveolar bone defects.A total of 44 implants were implanted,and none failed after operation.Conclusion The intraoral approach is a reliable method for the resection of mandibular benign tumors,with few postoperative complica-tions and the ability to position and fix accurately the reconstructed folded fibula under digital design.The immediate im-plantation of the transplanted fibula does not affect the blood supply and has a high success rate.It is an effective and reli-able method for the resection and reconstruction of mandibular benign tumors.关键词
口内入路/下颌骨良性肿瘤/腓骨移植/同期种植Key words
intraoral approach/mandibular benign tumor/fibula graft/simultaneous implantation分类
临床医学引用本文复制引用
李建成,颜明明,马正豪,田瑞雪,王续纪,胡恺,姜丽娜..口内入路行下颌骨良性肿瘤切除游离腓骨移植同期种植体植入的临床分析[J].华西口腔医学杂志,2025,43(2):212-219,8.基金项目
Anhui University Cooperative Research and Public Health Collaborative Innovation Project(GXXT-2020-021) （GXXT-2020-021）
Key Project of Translational Medicine of Bengbu Medical University(BYTM2019005) （BYTM2019005）
Graduate Research Innova-tion Program of Bengbu Medical College(Byycx23076) 安徽省高校合作攻关和公共卫生协同创新项目(GXXT-2020-021) （Byycx23076）
蚌埠医科大学转化医学重点专项项目(BYTM20190-05) （BYTM20190-05）
蚌埠医学院研究生科研创新计划(Byycx23076) （Byycx23076）
