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題 名 | Reconstruction of a Mandibular Defect Resulting from Severe Trauma by Using a Fibula Osteoseptocutaneous Free Flap: A Case Report=利用腓骨游離骨皮瓣重建嚴重外傷所致下顎骨缺損--病例報告 |
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作 者 | 朱晃照; 陳錫根; 謝義興; 王宜斌; 余滋照; 陳元武; 謝義興; | 書刊名 | 中華民國家庭牙醫學雜誌 |
卷 期 | 10:3 2015.12[民104.12] |
頁 次 | 頁45-50 |
分類號 | 416.955 |
關鍵詞 | 腓骨游離皮瓣; 下顎骨; 骨皮瓣; Fibular flap; Mandibular defect; Osteoseptocutaneous flap; |
語 文 | 英文(English) |
中文摘要 | 下顎骨缺損常因良性或惡性腫瘤、骨髓炎、外傷或其併發骨癒合不良而發生。嚴重的開放性粉碎性骨折易導致骨折癒合不良。有數種方法可用於下顎骨缺損之重建,包含重建骨板、不含血管的自體骨移植及包含血管的自體骨移植。本篇病例報告一嚴重外傷合併下顎骨開放性粉碎性骨折,手術後傷口癒合不良導致下顎骨缺損,利用腓骨游離皮瓣重建此包含下顎骨及其周遭軟組織之缺損,術後癒合良好,骨移植處高度並可用做未來植體重建齒列使用。 |
英文摘要 | Mandibular defects requiring reconstruction are commonly encountered in clinical settings and can be caused by resection of benign or malignant lesions, osteonecrosis, trauma, or nonunion of the bone after treatment of a mandibular fracture. A severe compound comminuted fracture of the mandible shows a tendency for nonunion after surgical treatment. A bone defect of the mandible can be reconstructed using several methods including a reconstruction plate, nonvascularized autogenous bone graft, and vascularized autogenous bone graft. We report the case of a patient with severe trauma resulting from a compound comminuted fracture of the mandible, and nonunion was noted after surgical treatment. We used a fibula osteoseptocutaneous free flap to reconstruct both soft tissue and bone defects. The patient recovered favorably and will undergo dental implant placement in the future. |
本系統中英文摘要資訊取自各篇刊載內容。