下頷骨重建金屬板用於下頷骨缺損之初期重建

Primary Reconstruction of the Mandible Using Mandible Reconstruction Plate

黃清浩(Ching-How Huang)

《中華民國耳鼻喉科醫學會雜誌》 29卷3期 (1994/06) Pp. 185-190

https://doi.org/10.6286/1994.29.3.185

摘要

孫逸仙醫院耳鼻喉科於民國79年至82年間，經歷6例二期口腔癌之病例，於施行根治性手術下頷骨之切除後，即刻以下頷骨重建金屬板作下頷骨之重建。手術後得以保存下頷骨之形狀，使病人之外觀及功能得以保存，術後病人均能順利接受放射治療而無重大之併發症。其中2例病人並於追蹤無腫瘤復發後順利進行第二次自體骨瓣之移植手術。下頷骨重建金屬板之優點為手術所需時間短，可由耳鼻喉科醫師一次完成，並可準備良好的軟組織，使第二次自體骨瓣移植成功率大增。

關鍵字

下頷骨重建金屬板 ； 下頷骨重建

並列摘要

From 1990 to 1993, six advanced oral cavity cancer patients with mandibular involvement were treated in the Department of Otolaryngology, Sun Yat-Sen Cancer Canter. After composite resection of the tumor including segmental resection of the mandible, mandibular reconstruction plate was used to reconstruct the mandible immediately. The cosmetic and functional results were rather satisfactory, no major complication even after postoperative radiotherapy. After follow-up without evidence of local recurrence, 2 patients received second stage reconstruction of the mandible using free vascularized fibular flap. The advantages of mandibular reconstruction plate are shortened operation time, one staged reconstruction by the otolaryngologist alone and providing good soft tissue condition for second stage autologous bone graft, so the successful rate will be higher.

並列關鍵字

mandibular reconstruction plate ； mandibular reconstruction