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

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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

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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.
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