下颌自体供骨修复颌骨缺损

• 作 者: 洪民
• 机 构: 中国人民解放军军医进修学院口腔科,
• 出 处: 中国人民解放军军医进修学院学报
• 发表日期: 2004年期
• 关键词: 颌骨缺损 领骨缺损 游离移植 内固定 骨板 游离骨块 颊突 关节强直 裸突骨折 下领骨

自十九世纪末到第一次世界大战期间,曾有不少学者探讨并介绍用带蒂颌骨片滑移修复邻近颌骨的小量缺损。第一次世界大战后的下颌植骨,初期采用肋骨及胫骨片游离移植,以后着重于髂骨。由于髂骨在质与量上对于修复颌骨缺损具有较多优点而被广泛选用迄今。最近虽又见用游离颌骨片修复面颌部骨缺损的报道,但为数少,被修复的缺骨量也都在4cm 范围之内,因此应用尚不普遍。

Since the late nineteenth century to the First World War, many scholars have discussed and introduced the use of pedicled jaw piece slippage to repair a small defect adjacent to the jaw bone. After the First World War mandibular bone graft, the initial use of ribs and tibial free transplantation, later focused on the ilium. Due to the quality and quantity of ilium for the repair of jaw defects has many advantages and has been widely used so far. Although we recently saw the use of free jaw bone to repair facial jaw bone defect reports, but a small number of missing bone mass are also within the scope of 4cm, so the application is not yet widespread.