查詢結果分析
來源資料
相關文獻
- Comparison of the Flap Viability among Primary and Secondary Mandibular Reconstruction with Vascularized Fibular Flap
- Oro-mandibular Reconstruction with Free Fibular Flap--A Modified Application for Muscle Cuff Inset
- 以polysulfone板與鈦網片重建下顎骨--臨床觀察6年多之病例
- 大型下顎骨造釉細胞瘤--病例報告
- Reconstruction of a Mandibular Defect Resulting from Severe Trauma by Using a Fibula Osteoseptocutaneous Free Flap: A Case Report
- 使用重建骨板版模於廣泛上顎骨切除後重建手術規劃--病例報告
- Vascular Anomaly in Fibular Flap Candidate--Report of Four Cases
- External Skeletal Fixation in Mandibular Reconstruction after Resection--Report of Two Cases and Literature Review
- Enhancing Precision in Mandibular Resection and Reconstruction: A Comparative Analysis of Virtual Surgical Planning Utilizing Fibula Free Flap and Iliac Crest Bone Graft
- 造釉細胞瘤重建方法--病例報告
頁籤選單縮合
題名 | Oro-mandibular Reconstruction with Free Fibular Flap--A Modified Application for Muscle Cuff Inset=腓骨游離皮瓣於下顎骨重建手術之改良應用 |
---|---|
作者 | 林佑宗; 張世幸; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷期 | 26:3 2017.09[民106.09] |
頁次 | 頁262-273 |
分類號 | 416.413 |
關鍵詞 | 下顎骨重建; 腓骨游離皮瓣; Free fibular flap; Osteoradionecrosis; Head and neck cancer; Mandible reconstruction; |
語文 | 英文(English) |
中文摘要 | 背景:使用腓骨游離皮瓣於下顎骨重建是廣泛應用的手術。為了得到良好的外觀,臉部的皮膚在廣泛腫瘤切除時會儘可能的保留。但是相對薄弱的皮膚卻可能增加重建骨板暴露的風險。目的及目標:我們改良了傳統的腓骨游離皮瓣,可以減少此併發症的發生。材料及方法:在西元2012年至2016年間,有16位下顎骨缺損的病患,使用改良腓骨游離皮瓣重建,依照年齡,性別,疾病及術後併發症進行分析及追蹤。結果:術後追蹤時間平均20.1月。所有腓骨游離皮瓣皆存活。有3位患者臉部皮膚部分壞死,2位小腿植皮區癒合不良。術後全口攝影顯示骨癒合良好。在追蹤期間,沒有患者發生鋼板外露的併發症,同時外觀也獲得不錯的保存。結論:針對下顎骨的缺損,改良的腓骨游離皮瓣是保存良好外觀並且避免鋼板外露,一種安全且可靠的術式。 |
英文摘要 | Background: Reconstruction of oro-mandibular defects using a free fibular flap has become a workhorse procedure. Use of a facial skin flap aims to preserve as much tissue as possible to enhance the aesthetic results. However, it presents a reconstructive dilemma since the very thin facial skin might create further unfavorable results, including plate exposure. Aim and Objectives: We developed a modified method that allows the inset of a fibular flap to prevent complications. The purpose of this study was to review the surgical techniques and outcomes of lower jaw reconstruction with the modified free fibular flap. Materials and Methods: Sixteen patients with a compound lower jaw defect who underwent mandibular reconstruction using a free fibular flap were evaluated. Clinical factors including patient age/sex, lesion type, perioperative complications, and satisfaction with the aesthetic results were assessed. Results: The mean follow-up was 20.1 months. All of the fibular osteocutaneous flaps survived except for two cases of donor-site exposed tendons. Three cases of partial facial skin necrosis occurred without plate exposure. Panorex radiographs showed good bone union and growth in all patients. No patient experienced postoperative plate exposure in those cases radiation therapy indicated. The aesthetic results were considered excellent by most patients. Conclusion: The periosteal stripping fibular flap technique was a safe, reliable alternative design that featured favorable aesthetic results and prevented plate exposure. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。