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腓骨肌皮瓣移植修复下颌区组织缺损的应用解剖 被引量:15

Applied anatomy of mandibular reconstruction by free transfer of com-pound fibular osteomyocutaneous flap
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摘要 在36侧灌注红色乳胶或墨汁的成人下肢标本上,结合下颌区多种组织缺损的修复术,对腓骨肌皮复合瓣血供、神经等进行了解剖学研究。术式设计以吻合诽血管腓骨瓣修复下颌骨;长屈肌瓣和腓骨长肌瓣分别修复口外或口内肌缺损;带感觉神经的小腿外侧皮瓣修复口内粘膜或口外皮肤缺损。文中讨论了应用解剖学要点及术中应注意的问题。 or the reconstrtiction of severe tissue defects in mandibular region,a compound fibular os-teomyocutaneous flap was designed.The blood stipply and nerve innervation to the grafts werestudied on 32 adult lower extremities perfused with red latex and 4 fresh amputated specimens in-jected with red latex or black ink.Mandibular reconstrtiction could be accomplished through mul-ti-transplantations of the fibular bone flap with fibular vessels,the long flexor muscle of greartoe or long peroneal muscle graft for repairing the mtisctilar defects inside or outside mouth,andthe lateral cutaneous flap of leg for the defect of oral mticosa or skin,The dermal sensation couldbe recovered by suturing of the lateral cutaneous nerve of calf with the inferior alveolar nerve orthe buccal nerve.
出处 《中国临床解剖学杂志》 CSCD 北大核心 1995年第3期174-178,共5页 Chinese Journal of Clinical Anatomy
基金 广东省自然科学基金
关键词 腓动脉 下颌骨 骨移植 组织缺损 腓骨肌 皮瓣 peroneal artery fibula mandible transplantation reconstruction
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