短种植体的临床应用与体会.pdfVIP

生国旦膣弛撞堂蓥蠢2塑玺箍! 垒鲞箜兰坦 ·2 7 · I mp l ant at i on i n r econst r uct ed al veol ar cr e s t a ft er t unmr Res ec t i on WANGHui ·ru i ng ，XU Jun- u a ，GU Xi ng- ua ( 1．s t Af f i l i at ed Ho spi t a l of Z ej i ang Uni ver s i t y ，Hangz ou ，C i na 330106) Obj ec t i ve ：To r epai r c omp ound def ect s i n man di b l e t mn or cas es i s t e c al l enge wo r k t o or a l maxi l i of a c i a l su r geor l ＆By now．t e conve n- t i onal me t o d of r econs t r uct i ng ma ndi b ul a r def ect s wa s aut ogenous l y bon e fl a p t r anspl ant at ion ，e speci al l y ，t e vas cular i z ed bo ne f l a p；ac · c omi n g t o de fect of sof t t i s sue ，pedi cl e my ocu t an eou s f l ap or f r ee s kin f l ap may be t e n l es t popul ar ，f r ee OSSe0US my ocu t an eou s fl a p of f ibu l a wa g ma de t o r e cons t r uct t e c omp ound def ect s o f mand i bl e a nd so f t t i s sue ．But t e p at i ent s s oul d r ec ei ve anot e r oper at i on i n ot er r egi on a nd anot er de f ect Was ca use d a t t e B踟鹏t i me ．Co mpl i ca t i on Wa S not sel d om su c aS, l ame ．1ar ge l 酎3ar a nd s o OI L．T at I mpl ant s Wa S pl aced i n OSge OUS myocuume ous fl a p s i mul t aneous l y was a l so di f f i cul t y ．Met ods ：T e t umor s a nd adj acent par t s of t e ma ndi bl e we r e compl et el y r es ect ed i n 6 pat i ent s ，r emai n i ng t e l ower edge o f mandi b l e ．Funct i onal nec k di ss e ct i ons we r e per f or med，pr ese r vi ng s t er no- cl ei domast o i d mu$cl es ，i t s bl oo d suppl y a nd p ar t i a l sur f ace ski n- St emocl ei domast o i d musc l e my ocu t an eot m f l ap wi t al f pi eces o f c l a