JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2014, Vol. 28 ›› Issue (4): 67-70.doi: 10.6040/j.issn.1673-3770.0.2014.140

Previous Articles     Next Articles

Immediate reconstruction of mandiblular segmental defects with nonvascularized rib grafts or iliac grafts

GOU Dong-ming1, WANG Ming-fu1, HUANG Xu-dong1, LI Long-jiang2   

  1. 1. Department of Otorhinolaryngology, Bazhong Central Hospital of Sichuan Province, Bazhong 636001, Sichuan, China;
    2. Department of Oral and Maxillofacial Surgery, Huaxi Hospital of Sichuan University, Chengdu 610041, Sichuan, China
  • Received:2014-04-29 Online:2014-08-16 Published:2014-08-16

PDF (PC)

404

Abstract: Objective To explore the effect of stage-I reconstruction with nonvascularized rib grafts or iliac grafts post mandibular segmental resection. Methods The analysis was based on the 16 patients admitted in our hospital from 2004 to 2012. They developed with severe mandiblular defects resulting from benign tumors and mandibular segmental resection and were chosen to undertake stage-I reconstruction with autologous nonvascularized rib grafts or iliac grafts. Results Incisions of all cases recovered in phase I. During the follow-up period of 1 to 12 months, one case of fistula and one case of graft necrosis were observed in all cases. All grafted bones survived with satisfied occlusions and appearances. The effects of the cases with half mandible defects were also accepted with appearance repair and basic occlusive function. Conclusion Satisfactory effect can be achieved by applying nonvascularized rib or iliac grafts to stage-I postoperative reconstruction post mandibular segmental resection. The operative procedure is relatively simple and no vascular anastomosis technique is needed. Taken together, it makes nonvascularized rib or iliac grafts to be an applicable method of mandibular defect repairing.

Key words: Mandible, Ilium, Reconstruction, Defect, Costa, Nonvascularized bone graft

CLC Number: 

  • R782.2+3
[1] 周树夏.手术学全集:口腔颌面外科卷[M].北京:人民军医出版社, 1996:289-290.
[2] 俞光岩.口腔颌面外科手术精要与并发症[M].北京:北京大学医学出版社, 2011:49-52.
[3] 黄林江, 王海花.自体骨移植即刻修复下颌骨缺损的治疗[J].浙江临床医学杂志, 2004, 6(8):693-694.
[4] 杨长湖, 高冬玲, 齐荣锦, 等.自体骨游离移植修复下颌骨缺损的临床疗效观察[J].口腔颌面外科杂志, 2010, 20(2):117-120.
[5] 蒋文, 李瑰琦, 姜传前, 等.下颌骨节段性缺损重建修复后并发症及原因分析[J].中国美容医学, 2013, 22(8):868-869.
[6] 李彤, 张陈平.下颌骨节段缺损541例临床回顾性研究[J].中华医学杂志, 2006, 41(12):705-706.
[7] 王志刚, 陈新.下颌骨缺损30例即刻修复重建的临床分析[J].口腔医学, 2003, 23(4):245.
[8] 毛驰, 俞光岩, 郭传宾, 等. 应用游离腓骨复合瓣行上颌骨缺损修复的初步研究[J].华西口腔颌面外科杂志, 2001, 11(1):11-14.
[9] 唐友盛, 高益鸣. 120 例下颌骨部分缺损非血管化髂骨移植[J]. 华西口腔医学杂志, 2000, 18(4):276.
[10] 王宁.颌骨缺损后下颌骨重建方法及新材料研究进展[J].中国实用口腔科杂志, 2010, 3(1):54-57.
[1] LI Guifen, YI Lina. Application of periorbital blood supply for repairing tissue defects in the orbital region [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 80-83.
[2] L(¨overU)Huiyan, ZHANG Xiuchuan, ZHOU Cunying, LI Bo, LI Weibing. Application of autologous orbital periosteum combined with amniotic membrane in reconstruction of eyelid defects [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 84-86.
[3] LI Xuexin, JIANG Zhen, YUE Jianlin, LIN Yun, SUN Ruijie, LIU Dayu, PAN Xinliang. The application of pedicle tissue flaps in reconstruction of pharyngeal and esophageal defects in head and neck surgery [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 48-52.
[4] WU Qingwei, ZHAO Yingying, WANG Peihua, WANG Zhongying, CHEN Dong. Curative effect of delayed local flap repair on defects of the nasal tip and dorsum in nasal emergency trauma [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 14-17.
[5] LIN Yun, PAN Xinliang, LIU Dayu, SUN Ruijie, LI Xuexin, JIANG Zhen, YUE Jianlin. The application of local tissue flaps in primary reconstruction of laryngeal function after laryngectomy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 56-60.
[6] WANG Dengyuan, CHEN Zhibin, CHEN Ruoxi, ZHAO Xiaonian, CHENG Lei. Clinical efficacy of repairing auricular skin defects with posterior auricular flaps and their preparation with Gauze blotting. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(3): 68-70.
[7] . Application of three-dimensional technology in the reconstruction of orbital wall defects in malignant tumors of maxillary sinus. [J]. J Otolaryngol Ophthalmol Shandong Univ, 2017, 31(1): 80-84.
[8] WU Kunmin, WU Jian, LI Zeqing, CHEN Wei, ZHU Chunhui, YANG Qi. Application of three-dimensional printing technique in assisting reconstruction after maxillectomy. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(6): 29-32.
[9] LU Xiaofeng, ZHU Min, WANG Bing. Treatment for obstructive sleep disordered breathing from the oral angle. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(5): 13-17.
[10] LI Xiaoming, SONG Qi, LI Hongxia, TAO Zhenfeng, SHEN Yupeng, XIAO Shufen. Reconstruction of hypopharyngeal defects after ablation of advanced head and neck squamous carcinoma involving hypophaynx with pectoralis major myocutaneous flap. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(3): 4-9.
[11] SONG Xicheng, ZHANG Hua, LIU Zhonglu, WANG Yunqiang, WANG Yan, ZHANG Qiang, WANG Qiang, KANG Shasha, SONG Yipeng. Treatment experience of preservation of laryngeal function in surgical management of pyriform sinus carcinoma. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(3): 20-23.
[12] CHANG Jiangyi, MA Lingguo, LI Jianyu, ZHOU Jingchun, ZHOU Zhou, ZENG Fanqian, XU Yang. Experimental study on the construction of heterogeneous decellularized dermal matrix-free jejunal complex. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(3): 52-55.
[13] WANG Junming, SONG Xicheng, LI Dajian. Tunnel flaps repairing the defects in external nasal tumor resection. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 59-61.
[14] WANG Yihong, LI Ruiyu, CHEN Cailong, WANG Xiaoyan, LIN Meifu, ZHOU Shuo. Application of MSCT multimodal 3D reconstruction in the assessment of temporal bone structures and cochlear implantation [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(6): 1-4.
[15] ZHANG Bin, LI Feng, ZHANG Liangwen, YANG Yang, ZHU Shugan. Surgical strategies and techniques in the management of refractory cerebrospinal fluid otorrhea [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(6): 17-21.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd