折叠腓骨肌皮瓣同期牙种植修复下颌骨缺损:即刻种植延期修复的临床应用

发布时间：2018-03-31 17:41

本文选题：腓骨肌皮瓣　切入点：即刻牙种植　出处：《南京医科大学学报(自然科学版)》2015年09期

【摘要】：目的 :总结折叠腓骨肌皮瓣即刻种植延期修复下颌骨缺损的优缺点,并观察其临床疗效。方法 :收集2001年1月—2012年12月南京医科大学附属口腔医院颌面外科采用折叠腓骨肌皮瓣同期牙种植修复下颌骨缺损的患者8例。根据缺损的部位和特点,设计折叠成"双管"型腓骨肌皮瓣修复术区缺损,即刻植入22枚牙种植体。6~12个月后行种植体上部修复。结果:8例腓骨肌皮瓣7例成活(成活率87.50%),1例术后坏死取出腓骨瓣。19枚种植体义齿修复后2年内功能发挥良好(2年存留率86.36%)。术后X线片示重建下颌骨高度满意,腓骨肌瓣与健侧下颌骨骨断端愈合良好,种植体发生骨愈合。术后随访平均2~5年,无严重并发症,种植牙功能良好,腓骨肌瓣重建下颌骨外形满意。结论:折叠腓骨肌皮瓣结合牙种植修复下颌骨缺损最终可以获得满意的外形和功能,技术条件允许时可以选择使用。
[Abstract]:Objective: to summarize the advantages and disadvantages of immediate implantation of foldable fibula myocutaneous flap for repairing mandibular defect. Methods: from January 2001 to December 2012, 8 patients with mandibular defects were treated with foldable fibula musculocutaneous flap in maxillofacial surgery, Nanjing Medical University affiliated Stomatology Hospital. A "double tube" fibular myocutaneous flap was designed to repair the defect. 22 dental implants were immediately implanted for 6 ~ 12 months. Results 7 cases of 8 cases of fibula myocutaneous flap survived (survival rate 87.50%). 1 case was necrotic and removed fibula flap. 19 implants had good function within 2 years after restoration. (the survival rate of 2 years was 86.36%). The postoperative X-ray showed that the mandibular reconstruction was satisfactory. The fibula muscle flap healed well with the normal mandible, and the implants healed. The average follow-up was 2 ~ 5 years. There were no serious complications and the dental implants had good function. Conclusion: foldable fibula myocutaneous flap combined with dental implants to repair mandibular defects can obtain satisfactory shape and function, and can be used when technical conditions permit.
【作者单位】：南京医科大学附属口腔医院江苏省口腔疾病研究重点实验室;南京医科大学附属口腔医院口腔医院口腔颌面外科;南京医科大学附属口腔医院口腔种植科;
【基金】：江苏高校优势学科建设工程资助项目(2014-37) 江苏省自然科学基金(BK20130898)
【分类号】：R783

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