Application of individual prefabricated reconstructive titanic plate combined with vascularized iliac bone-muscular flap for reconstruction of mandibular defects
10.3760/cma.j.issn.1009-4598.2016.04.005
- VernacularTitle:个性化预成型重建板技术联合血管化髂骨肌瓣在下颌骨修复重建中的应用
- Author:
Lin LIU
1
;
Delin XIA
;
Libo SUN
;
Li ZHANG
;
Lei WANG
;
Jingang XIAO
Author Information
1. 646000,西南医科大学附属口腔医院口腔颌面外科
- Keywords:
Mandible;
Bone Remodiling;
Ilium;
Muscle flap
- From:
Chinese Journal of Plastic Surgery
2016;32(4):258-263
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of individual prefabricated reconstructive titanic plate combined with vascularized iliac bone-muscular flap for reconstruction of mandibular defects.Methods From Aug.2010 to Dec.2014,12 cases with mandibular tumor received preoperative maxillofacial CT scans and 3-dimensional reconstruction.Based on the CT results,mirror imaging technology was used to simulate the reconstruction of the defect at affected side.The individual reconstructive titanium plate was prefabricated on the model.The iliac bone-muscular flap was designed according to the defect shape and size,combined with reconstructive plate.All patients underwent CT scan and oral curved surface tomography postoperatively.The maxillofacial function and appearance were also evaluated.Results According to the CT scan and curved surface tomography,the 12 iliac bone-muscular flaps survived completely with good bone union and good condyle position.Both the functional and cosmetic results were satisfactory.There was no complication on the donor sites.Conclusions Individual prefabricated reconstructive titanic plate combined with vascularized iliac bone-muscular flap provides an precise method for reconstruction of mandibular defects.The cosmetic and functional results could be expected.
