Treatment of firearm injury of the maxillo-facial region according to anatomical structures
- VernacularTitle:应用不同解剖结构基础救治颌面部火器伤的临床研究
- Author:
Xunyin ZHOU
;
Yan LI
;
Yi SHEN
- Publication Type:Journal Article
- Keywords:
maxillofacial-neck region firearms injury;
early stage bone transplantation;
tissu flap graft;
microsurgery
- From:
Medical Journal of Chinese People's Liberation Army
2001;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective The purpose of this study was to improve the clinical results of the treatment firearm injury to maxillofacial-cervical region, so as to raise the life quality of these patients. Methods Based on the study of the anatomical study of this region, different methods were adopted to reconstruct various maxillofacial-cervial firearms injuries. Three methods were adopted to reconstruct the mandibular region by early bone transplantation to the defects of the mandible in diffferent regions. In patients with combined defects of the mandible and soft tissue, the defects were repaired by transplantation of vascular pedicle graft with muscle and nerve or free tissue transplantation to restore function. Results The survival-rate of early bone transplantation was 91.52%(54/59). The rate of function restoration was 90.72%(88/97) in cases of tissue flap grafting. Conclusions Applied anatomy is the basic of design new surgery method. Tne new developed surgery methods can improve clinical cured effect of maxillofacial-neck region firearms injure.