钛重建板固定移植髂骨修复下颌骨缺损

Mandibl reconstruction with iliac flap and titanium reconstruction plate fixation

目的评价游离髂骨移植钛重建板固定Ⅰ期修复下颌骨缺损的方法。方法对24例下颌骨良性病变及相近组织恶性病变侵犯下颌骨患者,扩大切除病变部位后,采用自体髂骨移植钛重建板固定即刻修复缺损下颌骨。结果术后3、6、12月随访,24例均获成功,3例病人存在轻度开口受限。结论钛重建板固定移植髂骨修复下颌骨缺损,能较好的恢复其形态和功能,是一种比较好的修复方法。

Objective To evaluate the treatment of mandibular defect reconstruction with iliae flap and titanium reconstruction plate fixation. Methods Twenty - four cases of segmental mandibulctomy for mandibl tumor or mandibular bone was invaded by carcinoma of near tissue, the mandibular defects were reconstructed immediately with non - vaseularized iliac bone mass which were fixed by titanium reconstruction plate. Results Following up 3,6,12 months, all grafted bones were survial. 3 cases had limiting of the mouth opening. Conclusions The segmental mandibulctomy with safe borders and immediate reconstruction with non -vascularized iliac crest is an ideal trentment for mandibular defect. Both of the facial appearance and mandibular function were repired.