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临床上对下颌骨缺损的修复,传统的自体骨移植需经爬行置换的组织学修复过程。自1979年Taylor首次应用吻合旋髂深血管游离髂骨移植取得成功后,为下颌骨修复重建开辟了新途径。使以往复杂的植骨愈合机制转变为单一骨折过程。我院1987—02采用吻合旋髂深血管游离肌髂骨瓣重建下颌骨缺损一例,随访效果良好,现报告如下。崔某,女,34岁,病人因右下颌骨肿物在某院按“颌骨囊肿”手术,术后0.5a复发再次来我院治疗。入院后全身系统检查无异常。颌面外科检查见右下颌骨明显外突膨隆,两侧明显不对称。右颌下皮肤有手术切口瘢痕。口内7-3牙齿Ⅰ°—Ⅱ°松动,磨牙后垫区软组织溃烂,相当于8
Clinically, the repair of mandibular defects, the traditional autologous bone graft by the crawling replacement histological repair process. Since Taylor's first application of iliac allograft iliac graft in 1979 has achieved success, it opens up new avenues for mandibular reconstruction. The past complex bone healing mechanism into a single fracture process. Our hospital 1987-02 using ankylosing spondylitis deep iliac free iliac bone flap reconstruction of a case of mandibular defect, follow-up effect is good, are as follows. Cui Mou, female, 34 years old, the patient underwent a “jaw cyst” operation in a hospital due to a right mandibular tumor. After 0.5a recurrence, she again came to our hospital for treatment. No systemic abnormalities after admission. Maxillofacial surgery showed obvious outward protrusion of the right mandible, both sides of the obvious asymmetry. Right submandibular skin with surgical incision scar. Mouth 7-3 teeth Ⅰ ° -Ⅱ ° loosen, molars rear pad soft tissue ulceration, the equivalent of 8