关键词: fibular flap maxillary defects pedicle ossification reconstruction

来  源:   DOI:10.1002/ccr3.8810   PDF(Pubmed)

Abstract:
UNASSIGNED: The phenomenon of vessel pedicle ossification is a noteworthy aspect of the repair and reconstruction of maxillofacial defects. Imaging findings typically reveal high-density shadows within the vascular pedicle pathway, which may be managed through conservative observation or surgical intervention as deemed appropriate.
UNASSIGNED: Vessel pedicle ossification is a relatively uncommon complication associated with the reconstruction of oral and maxillofacial tissue defects using free tissue flap repair. In this paper, we report a case of pedicle ossification and conduct a comprehensive review of previous literature. A 39-year-old man presented with a limited ability to open his mouth 6 months after fibular flap reconstruction of the mandible. Plain film X-ray and computed tomography (CT) indicated pedicle ossification. Two years after the initial operation, the restriction in the patient\'s ability to open his mouth had not worsened, although there were more pronounced radiographic abnormalities.
摘要:
血管蒂骨化现象是颌面部缺损修复和重建的一个值得注意的方面。影像学检查结果通常显示血管蒂通路内的高密度阴影,可以通过保守观察或适当的手术干预来管理。
血管蒂骨化是一种相对罕见的并发症,与使用游离组织瓣修复重建口腔颌面部组织缺损有关。在本文中,我们报告一例椎弓根骨化,并对以往文献进行全面回顾。一名39岁的男子在腓骨皮瓣重建下颌骨6个月后张开嘴的能力有限。X线平片及CT显示椎弓根骨化。初次手术两年后,病人张开嘴能力的限制并没有恶化,尽管有更明显的影像学异常。
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