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目的总结13例游离腓骨肌皮瓣修复下颌骨缺损病例,探讨其修复下颌骨缺损的经验。方法回顾分析2007年1月—2010年12月采用腓骨肌皮瓣一期修复13例因各种疾病造成的下颌骨缺损的临床资料。13例病例中男患者6例,女患者7例,年龄从24～63岁,平均年龄41岁。舌癌病例3例,口底癌病例4例,牙龈癌病例2例,成釉细胞瘤病例2例,大型牙源性角化囊肿病例1例,放射性骨坏死病例1例。13例游离腓骨肌皮瓣均携带皮岛,皮岛最大面积为10cm×4cm,最小面积为4cm×3cm,游离腓骨长度为5～13cm。结果 13例腓骨肌皮瓣均成活,患者获得满意的外形和功能结论游离腓骨肌皮瓣是修复下颌骨缺损的理想方法。
Objective To summarize 13 cases of mandibular defects repaired with free fibula myocutaneous flaps and to explore their experience in repairing mandibular defects. Methods The clinical data of 13 cases with mandibular defects caused by various diseases were retrospectively analyzed from January 2007 to December 2010. Thirteen cases of male patients in 6 cases, 7 cases of female patients, aged from 24 to 63 years, mean age 41 years. 3 cases of tongue cancer, 4 cases of mouth cancer, 2 cases of gingival cancer, 2 cases of ameloblastoma, 1 case of large odontogenic keratocyst, 1 case of radioactive osteonecrosis. Thirteen cases of free fibula myocutaneous flap carried the island, the largest area of the island is 10cm × 4cm, the smallest area is 4cm × 3cm, the free fibula length is 5 ~ 13cm. Results All the 13 cases of fibula myocutaneous flaps survived and the patients obtained satisfactory shape and function. Conclusion Free fibula myocutaneous flap is an ideal method for repairing mandibular defects.