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下颌骨缺损的重建,近年来在许多情况采用了自体松质骨和骨髓的移植代替了自体肋骨和骼骨的移植,它的优点是骨化的可能性大,手术后并发症少,有很好的固定。本文介绍了一个病案和手术的操作方法。男性病员51岁,患有左颌舌沟后份低分化鳞癌,在71年7月手术切除了左半侧下颌骨,半侧舌并作颈淋巴清扫术,在这一次手术采用全厚额瓣倒置过来修补了左咽侧和左口底的缺损。在72年7月采用自体松质骨和骨髓的移植进行了左下颌的次全重建,先采用塑料夹板限制上下颌运动,然后在下颌骨缺损段从中线联合处到下颌角设计了一个金
Reconstruction of mandibular defects, in recent years in many cases the use of autologous cancellous bone and bone marrow transplantation instead of autologous ribs and iliac bone graft, which has the advantage of the possibility of ossification, less postoperative complications, there are very Good fixed. This article describes a method of operation and surgery. A 51-year-old male patient with a poorly differentiated squamous cell carcinoma of the left maxillary tongue and groove, underwent surgical resection of the left half of the mandible, half tongue, and neck dissection in July 71. In this procedure, Flap upside down to repair the left pharyngeal and left mouth defect. In July 72, autograft of cancellous bone and bone marrow was used for subtotal reconstruction of the left mandible. Plastic jaws were used to limit the movement of the upper and lower jaws. Then, a gold was designed in the mandibular defect segment from the midline junction to the mandibular angle