THE PLACE OF THE ILIAC CREST IN VASCULARIZED OROMANDIBULAR RECONSTRUCTION

被引：9

作者：

BOYD, JB

机构：

[1] Department of Surgery, University of Toronto, Toronto Hospital Head and Neck Unit, Toronto

来源：

MICROSURGERY | 1994年 / 15卷 / 04期

关键词：

D O I：

10.1002/micr.1920150406

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The iliac crest is reevaluated with respect to the rapid evolution of vascularized mandibular reconstruction. With more flaps to choose from, indications for the crest have become more specific-playing to the strengths of this particular transfer. Ideally, defects should exclude soft tissue and occupy lateral segments of the mandibular arch-up to and including a complete hemimandible. The composite flap is capable of reconstructing external skin with ease, but the color match leaves something to be desired. Mucosal defects are less well handled. The flap can replace soft tissue bulk as well as mandibular height following through-and-through excisions in the region of the chin. Where donor site cosmesis is of paramount importance, the iliac crest is simply the best flap available. (C) Wiley-Liss, Inc.

引用

页码：250 / 256

页数：7

共 27 条

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