Abstract:
The vascularized periosteal free flap transposes a non-irradiated soft tissue with neoangiogenesis, bone induction, and osteogenesis qualities. A surgical technique using a humeral periosteal free flap is described for the treatment of recurrent osteoradionecrosis of the lower jaw. The humeral periosteal free flap is a technique associated with low morbidity. The procedure described avoids sacrificing major vessels as seen in other common flap procedures. Hence, this revascularization approach is equivalent to a prevention technique that should be considered early in the development of osteoradionecrosis to avoid further damage and challenging reconstruction.
摘要:
血管化的骨膜游离皮瓣通过新血管生成转移了未照射的软组织,骨诱导,和成骨质量。描述了一种使用肱骨骨膜游离皮瓣治疗下颌复发性放射性骨坏死的手术技术。肱骨骨膜游离皮瓣是一种发病率低的技术。所描述的程序避免了在其他常见的皮瓣程序中看到的牺牲主要血管。因此,这种血运重建方法相当于一种预防技术,在骨坏死的早期发展中应考虑该技术,以避免进一步的损伤和具有挑战性的重建.