个性化钛网结合游离组织瓣修复上颌骨缺损

Investigation of personalized titanium mesh combined with free flap for reconstruction of maxillary defect

目的探讨个性化钛网结合游离组织瓣修复上颌骨缺损的临床效果。方法选取2010年5月~2016年5月期间江门市中心医院收治的上颌骨缺损患者36例作为研究对象,采用个性化钛网结合游离组织瓣修复方案,总结、探讨该治疗方案的临床应用价值。结果随访期6~36个月,组织瓣成活率100%,肿瘤复发率5.56%,满意度为100%;无复视发生;无吞咽障碍发生;患者咀嚼功能有所下降,并且出现咀嚼时间变长的情况;而在语言沟通方面未受到影响。结论应用个性化钛网与游离组织瓣相结合的方式修复上颌骨缺损患者,临床修复效果较好,可有效改善患者生活质量,但在后期义齿修复时仍有困难。

Objective To explore the clinical effect of personalized titanium mesh combined with free flap in the repair of maxillary defect. Methods 36 cases of maxillary defect patients as the research object were selected in our hospital during May of 2010 to May of 2016. 36 defect cases were repaired with personalized titanium mesh combined with free flap, and summarize the treatment programs to explore the value of clinical application. Results By the end of follow-up, all of the flap survived, tumor recurrence rate was 5.56% with paitient satisfaction was 100%; Diplopia and dysphagia occurred in no cases; Masticatory function declined accompanied with a longer chewing time but language communication was not affected. Conclusion The application of personalized titanium mesh and free flap repair methods in maxillary defect is significant, which effectively improve the quality of life of patients whereas still have difficulties in late denture at the same time.