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患者、男性、19岁、学生,1978年7月前来就诊。两年来左下颌骨生一肿瘤,呈缓慢的膨胀性生长,曾经牙科医生刮治两次又复发。病理报告是矛盾的,但是最近四个月来肿瘤突然生长迅速——最后做出了骨肉瘤的诊断。经检查证实没有远距离转移的征象。显然,切除此肿瘤的手术应超过左半侧下颌骨截除,越过中线到对侧双尖牙,并切除邻近的软组织和一些口底粘膜。按照“逆转计划法”的原则,设计用来修复的游离瓣不仅要代替粘膜和骨缺损,还要重建颞颌关
Patient, male, 19 years old, student, July 1978. Two years left a mandibular tumor, showed a slow expansion of growth, once the dentist twice cure and relapse. Pathological reports are contradictory, but tumors have suddenly grown rapidly in the last four months - finally a diagnosis of osteosarcoma was made. After examination confirmed that no signs of long-term transfer. Obviously, surgically resecting the tumor should surpass the left half of the mandible, cross the midline to the contralateral bicuspid, and remove the adjacent soft tissue and some mucosa of the mouth. In accordance with the “reverse plan” principle, designed to repair the free flap not only to replace mucosal and bone defects, but also to rebuild the temporomandibular joint