Clinical evaluation of 2 kinds of osteocutaneous flap in the treatment of mandibular osteoradionecrosis
10.3969/j.issn.1001-3733.2015.03.025
- VernacularTitle:2种骨肌皮瓣修复放射性下颌骨坏死术后缺损的临床评价
- Author:
Zhiwen BIN
;
Cheng WANG
;
Xiaolin WU
;
Jinsong HOU
- Publication Type:Journal Article
- Keywords:
Mandible;
Osteoradionecrosis;
Iliac osteocutaneous flap;
Fibular osteocutaneous flap;
Reconstruction
- From:
Journal of Practical Stomatology
2015;(3):412-416
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical outcomes of 2 kinds of osteocutaneous flap in the treatment of mandibular osteoradione-crosis.Methods:35 cases with mandibular osteoradionecrosis were treated by partial mandibulectomy and bone graft according to de-fect size and patients'requirements.The defects in 7 patients were reconstructed with iliac osteocutaneous flap and 28 with fibular os-teocutaneous flap.All flaps and wounds were monitored regularly.Results:One flap with venin crisis was observed in the patients treated with iliac osteocutaneous flap,its skin island was failed but the bone graft was survived.In the fibular osteocutaneous flap group,3 flaps with vein crisis were observed.2 of them were failed and 1 was rescued after second surgery.The most common compli-cations were infection,delayed wound healing and scar.The appearance and function were all satisfied and limitation of mouth opening was improved after surgery.Conclusion:Both of fibular osteocutaneous flap and iliac osteocutaneous flap can be applied in the defect reconstruction of patients with mandibular osteoradionecrosis.Fibular osteocutaneous flap is a good choice for huge mandibular defect and iliac osteocutaneous flap seems more esthetical.
