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颌面部大型缺损的修复,过去常用远处转移皮管,或邻近带蒂组织的转移。每当骨骼与软组织同时缺损,需要手术的次数更多、更麻烦。近年来,带血管复合骨皮瓣游离移植术开始被应用于口腔颌面部大型缺损的修复,一次成功,缩短了疗程。1977年Buncke采用了带血管肋骨皮瓣修复下颌骨缺损,其中一例成功,一例失败。1979年Taylor等报告一例下颌肉瘤术后造成颌面部组织大型缺损,成功地应用带血管髂骨皮瓣游离移植进行修复。我科近年来在临床上采用带血管骨(髂骨或肋骨)皮瓣游离移植,修复因肿瘤术后与创伤后形成的颌面部缺损。现将作者移植的二例报告于下: 例一.尉××,女性,26岁,于80年11月24日,因右面颊部肿块增大、出血而入院。经
Maxillofacial large defect repair, the past often used distant metastasis of the skin, or the transfer of adjacent pedunculated tissue. Whenever the bones and soft tissue defect at the same time, the number of operations required more and more trouble. In recent years, the vascular composite bone flap free graft transplantation has been applied to oral and maxillofacial large defect repair, a successful, shorten the course of treatment. In 1977 Buncke used a vascular rib flap to repair mandibular defects, one of which was successful and one failed. In 1979 Taylor et al reported a case of mandibular sarcoma caused by large facial maxillofacial defects, the successful application of vascular ilium flap free graft for repair. In recent years, our department in clinical use of vascular bone (ilium or rib) flap free transplantation, repair of tumor due to postoperative and traumatic maxillofacial defect. Now the author of the transplant two cases reported below: Example I. Wei × ×, female, 26 years old, on November 24, 1980, due to the right cheek bump increased, bleeding and hospitalization. through