Multiplanar distraction osteogenesis of fibula free flaps used for secondary reconstruction of traumatic maxillary defects

被引:10
作者
Rodriguez, Eduardo D.
Martin, Mark
Bluebond-Langner, Rachel
Manson, Paul N.
机构
[1] Univ Maryland, Sch Med, Div Plast Reconstruct & Maxillofacial Surg, R Adams Cowley Shock Trauma Ctr, Baltimore, MD 21201 USA
[2] Johns Hopkins Sch Med, Baltimore, MD 21201 USA
[3] Loma Linda Univ, Dept Plast & Reconstruct Surg, Loma Linda, CA 92350 USA
关键词
maxillary reconstruction; distraction osteogenesis; fibula osteoseptocutaneous flap;
D O I
10.1097/01.scs.0000221522.03164.33
中图分类号
R61 [外科手术学];
学科分类号
摘要
Traumatic maxillary bone loss, if not treated acutely, is accompanied by contracture of the overlying soft tissue envelope and loss of facial projection in three dimensions. Reconstruction aimed at replacing the bony architecture, expanding the soft tissue envelope and establishing a platform for dental rehabilitation can be accomplished in a staged approach. We present two patients who underwent replacement of missing maxillary segments with a free fibula flap, followed by distraction of the free fibula in three dimensions and eventual dental rehabilitation with osseo-integrated implants.
引用
收藏
页码:883 / 888
页数:6
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