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学科主题临床医学
Fibular Free Flap Reconstruction for the Management of Advanced Bilateral Mandibular Osteoradionecrosis
Shan, Xiao-Feng1; Li, Ru-Huang1,2; Lu, Xu-Guang1; Cai, Zhi-Gang1; Zhang, Jie1; Zhang, Jian-Guo1
关键词Osteoradionecrosis bilateral mandibular defects fibular flap reconstruction
刊名JOURNAL OF CRANIOFACIAL SURGERY
2015-03-01
DOI10.1097/SCS.0000000000001391
26期:2页:E172-E175
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Surgery
研究领域[WOS]Surgery
关键词[WOS]OSTEOSEPTOCUTANEOUS FLAP ; CONSERVATIVE MANAGEMENT ; RADIOTHERAPY ; DEFECTS ; THERAPY ; CANCER
英文摘要

Fibular osteoseptocutaneous flap has been widely used for unilateral mandibular reconstruction. However, reports about the effects of fibular osteoseptocutaneous flap for the reconstruction of bilateral mandibular defects are limited. In this study, we used free vascularized fibular flaps to successfully manage bilateral mandibular osteoradionecrosis (ORN) in 5 patients. Functional aspects were evaluated during the reconstruction process. All 5 patients had bilateral refractory ORN of the mandible and underwent radical resection between 2003 and 2011. The reconstruction surgery was performed in 2 stages using 2 free fibular flaps in 3 patients. In the other 2 patients, reconstruction was performed in a single stage using 2 separate flaps prepared from a single fibula. All patients had a healthy mandibular symphysis and meniscus of the temporomandibular joint, and these structures were preserved during the reconstruction. Of the 10 defects involving the mandible sides, 9 were successfully reconstructed. One microvascular composite flap failed because of radiation injury to the arterial endothelium at the recipient site. After the treatments, all patients had good esthetic and functional outcomes. Preoperative clinical features such as trismus and dysphagia were also markedly improved. Our surgical method may be an effective alternative for the clinical management of advanced bilateral mandibular ORN.

语种英语
WOS记录号WOS:000350891600037
项目编号Z131107002213093 ; Z111107058811038
资助机构Beijing Municipal Development Foundation in China
引用统计
被引频次:4[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/64263
专题北京大学第三临床医学院
北京大学第三临床医学院_口腔科
北京大学口腔医学院_外科
作者单位1.Peking Univ, Sch & Hosp Stomatol, Dept Oral & Maxillofacial Surg, Beijing 100081, Peoples R China
2.Peking Univ, Hosp 3, Dept Oral Dis, Beijing 100081, Peoples R China
推荐引用方式
GB/T 7714
Shan, Xiao-Feng,Li, Ru-Huang,Lu, Xu-Guang,et al. Fibular Free Flap Reconstruction for the Management of Advanced Bilateral Mandibular Osteoradionecrosis[J]. JOURNAL OF CRANIOFACIAL SURGERY,2015,26(2):E172-E175.
APA Shan, Xiao-Feng,Li, Ru-Huang,Lu, Xu-Guang,Cai, Zhi-Gang,Zhang, Jie,&Zhang, Jian-Guo.(2015).Fibular Free Flap Reconstruction for the Management of Advanced Bilateral Mandibular Osteoradionecrosis.JOURNAL OF CRANIOFACIAL SURGERY,26(2),E172-E175.
MLA Shan, Xiao-Feng,et al."Fibular Free Flap Reconstruction for the Management of Advanced Bilateral Mandibular Osteoradionecrosis".JOURNAL OF CRANIOFACIAL SURGERY 26.2(2015):E172-E175.
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