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題名 | Pediatric Mandible Reconstruction Using Vascularized Fibular Flap--Report of Two Cases=小兒下顎骨腓骨自由皮瓣之重建--兩個病例報告 |
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作者 | 黃子桓; 劉崇基; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
卷期 | 29:4 2018.12[民107.12] |
頁次 | 頁241-250 |
分類號 | 416.95 |
關鍵詞 | 腓骨自由皮瓣; 小兒下顎骨生長; 比例指數; Free fibular flap; Pediatric mandibular growth; Proportional index; |
語文 | 英文(English) |
中文摘要 | 腓骨自由皮瓣運用於小兒下顎骨之重建是一個安全且沒有明顯供應區併發症的手術,然而重建後之下顎骨生長與否仍然沒有定論。此篇論文介紹兩位4歲及8歲小孩分別因Ewing's sarcoma及rhabdomyosarcoma進行腓骨下顎重建,並運用proportional index(PI)來評估下顎骨的生長,兩者皆發現少量腓骨萎縮的現象,一位觀察2年2個月的小孩仍然有髁頭的生長,另一位觀察11個月的小孩則發現髁頭亦跟著萎縮。我們仍然需要更長時間的觀察以確定將來的生長狀況。 |
英文摘要 | Free fibular flap reconstruction for mandibular defect in pediatric patient is a safe procedure with no obvious donor site side effect. The growth of the neo-mandible has been an issue with no definitive conclusion. Two of our cases with mandible Ewing's sarcoma and rhabdomyosarcoma underwent tumor wide excision with free fibula osteo-fasciacutaneous flap reconstruction have been evaluated the bone growth by calculating the proportional index (PI). These two cases showed slight reconstructed fibula bone atrophy. One showed condyle growth with 2 years 2 months follow up period. The other showed condyle atrophy with 11 months follow up period. Long term follow up is needed for facial bone growth evaluation by plain radiograph films or CT. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。