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应用腓骨肌瓣180°折叠即刻种植牙植入修复下颌骨缺损

Reconstruction of mandible by folding up vascularized fibular free flap with simultaneous placement of implant

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【作者】 潘臣利; 齐东元; 张福胤; 姜道林;

【Author】 PAN Juli, QI Dongyuan, ZHANG Fuyin,et alDepartment of Oral and Maxillofacial Surgery,First Affiliate Hospital of Dalian Medical University,Dalian,116011

【机构】 大连医科大学附属第一医院口腔颌面外科; 大连医科大学附属第一医院口腔颌面外科 116011; 116011;

【摘要】 目的 :切除下颌骨肿瘤,同期应用血管化腓骨肌瓣180折叠即刻种植牙植入骨中修复下颌骨缺损 ,探讨腓骨肌瓣折叠及即刻种植牙植入的手术特点。方法 :对1例下颌骨造釉细胞瘤的病人行肿瘤及下颌骨切除的同时将腓骨肌瓣180折叠并移植至缺损部即刻植入种植牙一枚。结果 :六个月后曲面断层片显示种植体骨整合愈合情况良好。结论 :腓骨肌瓣180折叠即刻种植体植入可以一次手术达到恢复有牙患者下颌骨应有高度和连续性及咀嚼功能的目的

【Abstract】 Objective: To investigate the characteristics of vascularized folding fibular free flap with simultanous placement of inplant. Methods:One case suffering from mandibular ameloblastoma underwent partial mandibulectomy.One vascularized fibular free flap was folded up and grafted to repair the mandibular defect with immediate insertion of one implant. Results: 6 months later,X-ray showed osseointegration between the implant and grafted bone. Conclusion: Vascularized folding fibular free flap with simultanous placement implant could be used to rehabilitate patient’s facial contour and mastication at the same time.

【关键词】 下颌骨; 种植体; 血管化腓骨肌瓣;
【Key words】 mandible; implant; vascularized folding free flap;
  • 【文献出处】 中国口腔种植学杂志 ,Chinese Journal of Oral Implantology , 编辑部邮箱 ,2002年03期
  • 【分类号】R782.2
  • 【被引频次】4
  • 【下载频次】145
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