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近年来,随着显微外科的发展,吻合血管的骨瓣及复合骨瓣运用于临床,使骨移植手术进入一个新阶段。运用带血管的游离骨瓣及复合瓣重建下颌骨缺损的历史甚短,1973年首先由 Me cullough 运用显微外科技术进行肋骨吻合血管移植修复下颌骨缺损获得成功。1979年,由 Taylor 运用以旋髂深血管为蒂的游离复合髂骨瓣重建两例下颌骨缺损获得成功。1985年,我科采用吻合旋肩胛血管的游离肩胛骨瓣移植行两例下颌骨缺损重建均获得了良好的效果。现介绍如下:
In recent years, with the development of microsurgery, anastomosis of blood vessels and composite bone flap used in clinical, so that bone transplantation surgery into a new phase. The use of free vascularized flap and composite flap to reconstruct the mandibular defect has a short history. In 1973, Mellllough first used the microsurgical technique to perform rib anastomosis vascular graft to repair the mandibular defect. In 1979, two cases of mandibular defects were reconstructed successfully by Taylor using a free iliac crest pedicle iliac graft. In 1985, our department used scapular vascularized anastomosis free scapular flap transplant two cases of mandibular defect reconstruction have achieved good results. Now introduced as follows: