کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3142787 1196792 2014 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Transformation of a vascularised iliac crest or scapula bone to a pedicled osteomuscular transplant for reconstruction of distant defects in the head and neck region: A new method of transforming two island flaps to one longer island flap
ترجمه فارسی عنوان
تبدیل یک عصب شکمی عصبی واسکولار یا استخوان لگن به یک پیوند عضلانی برای بازسازی نقایص دور در ناحیه سر و گردن: یک روش جدید برای تبدیل فلپ های دو جزیره به یک فلاپ جزیره طولانی
کلمات کلیدی
فلات جزیره، نقص استخوان، پیش ساخته پیوند غضروفی اسکلتی عضلانی، جراحی ترمیمی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی دندانپزشکی، جراحی دهان و پزشکی
چکیده انگلیسی

ObjectiveBone defects in the maxillofacial region after ablative surgery require reconstructive surgery, usually using microvascular free flaps. This paper presents a new method of reconstructing extensive defects in patients not suitable for microvascular surgery using prefabrication of a vascularised osteomuscular flap from the scapula or iliac crest bone.MethodsThree patients who were treated with this new technique are presented. Two patients (one mandibular defect and one defect in the maxillary region) received prefabricated osteomuscular flaps from the iliac crest bone using the latissimus dorsi muscle as a pedicle. One patient also presenting a mandibular defect after tumour surgery received a scapula transplant for reconstruction of the defect using the pectoralis major muscle as pedicle.ResultsIn all three cases vital bone could be transplanted. The pedicle was strainless in all three cases. Minor bone loss could be seen initially only in one case. The results are stable now and one patient received dental implants for later prosthetic treatment.ConclusionThe presented two-step surgery provides an excellent method for reconstruction of bony defects in the maxillofacial region in patients where microvascular surgery is not possible due to reduced state of health or lack of recipient vessels.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Cranio-Maxillofacial Surgery - Volume 42, Issue 8, December 2014, Pages 2056–2063
نویسندگان
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