文章摘要
Krishna Gopal Bhuju,Shuzhong Xing,Hualian Liu.[J].南京医科大学学报,2008,28(1):23~27
Evaluation of mandibular reconstruction with free vascularized fibular flap
投稿时间:2007-09-10  
DOI:10.7655
中文关键词: 
英文关键词: mandibular reconstruction  free fibular flap  osteocutaneous flap  functional  aesthetic  evaluation.
基金项目:
作者单位
Krishna Gopal Bhuju Department of Oral & Maxillofacial Surgery, the Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu Province, China 
Shuzhong Xing  
Hualian Liu  
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中文摘要:
      
英文摘要:
       Objective: To evaluates mandible reconstruction by free vascularized fibular flap with special emphasis on the immediate complications. Methods:The clinical data of 63 patients were reviewed, 35 male and 28 female(age range 16 to 73 years). Aesthetic and functional outcomes were evaluated by follow-up and/or telephone conversation. Results:Among the 63 fibular flaps, 29 were osteocutaneous flaps with one or two skin islands. All the flaps were surviving well and the success rate was 100%. Long term donor site disability was not recorded for any patient. Thirty-one patients responded for aesthetic and functional evaluation, 20 cases(64.5%) reported their facial appearance as excellent or good, 11 (35.48%) felt fair; 14 cases (45%) could eat unrestricted diet, 17(55%) could eat soft diet; 21 cases were(67.67%) speech normal, 10(22.33%) speech intelligible. Conclusion:Free fibular flap reflects good functional and esthetic results with a high degree of consistency, and acceptable level of complications, and we strongly believe the vascularized fibular flap is the first choice for mandibular reconstruction.
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