Reconstruction of a Mandibular Defect Resulting from Severe Trauma by Using a Fibula Osteoseptocutaneous Free Flap: A Case Report

利用腓骨游離骨皮瓣重建嚴重外傷所致下顎骨缺損－病例報告

朱晃照(Huang-Chao Chu) ； 陳錫根(Shyi-Gen Chen) ； 謝義興(Yi-Shing Shieh) ； 王宜斌(Yi-Bing Wang) ； 余滋照(Tzu-Chao Yu) ； 陳元武(Yuan-Wu Chen)

《中華民國家庭牙醫學雜誌》 10卷3期 (2015/12) Pp. 45-50

https://doi.org/10.6566/JFD/2015.10(3).45

摘要

下顎骨缺損常因良性或惡性腫瘤、骨髓炎、外傷或其併發骨癒合不良而發生。嚴重的開放性粉碎性骨折易導致骨折癒合不良。有數種方法可用於下顎骨缺損之重建，包含重建骨板、不含血管的自體骨移植及包含血管的自體骨移植。本篇病例報告一嚴重外傷合併下顎骨開放性粉碎性骨折，手術後傷口癒合不良導致下顎骨缺損，利用腓骨游離皮瓣重建此包含下顎骨及其周遭軟組織之缺損，術後癒合良好，骨移植處高度並可用做未來植體重建齒列使用。

關鍵字

腓骨游離皮瓣 ； 下顎骨 ； 骨皮瓣

並列摘要

Mandibular defects requiring reconstruction are commonly encountered in clinical settings and can be caused by resection of benign or malignant lesions, osteonecrosis, trauma, or nonunion of the bone after treatment of a mandibular fracture. A severe compound comminuted fracture of the mandible shows a tendency for nonunion after surgical treatment. A bone defect of the mandible can be reconstructed using several methods including a reconstruction plate, nonvascularized autogenous bone graft, and vascularized autogenous bone graft. We report the case of a patient with severe trauma resulting from a compound comminuted fracture of the mandible, and nonunion was noted after surgical treatment. We used a fibula osteoseptocutaneous free flap to reconstruct both soft tissue and bone defects. The patient recovered favorably and will undergo dental implant placement in the future.

並列關鍵字

fibular flap ； mandibular defect ； osteoseptocutaneous flap