Head & neck · 2008
Pediatric mandibular reconstruction using a vascularized fibula flap.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Crosby Melissa A, Martin Jack W, Robb Geoffrey L, Chang David W
Аннотация
BACKGROUND: The purpose of this study was to address questions concerning the functional outcome following mandibular reconstruction with vascularized fibula flap in skeletally immature children
METHODS: Eleven patients 14 years old or younger who underwent mandibular reconstruction using a free fibula flap were evaluated.
RESULTS: The mean follow-up was 3.4 years. One flap loss occurred and required a second fibula flap. Panorex radiographs showed good bone union and growth in all patients. Functional outcomes were normal according to age in all patients. Two patients had long-term malocclusion. No patients had to undergo corrective orthognathic surgery. Donor-site morbidities consisted of great toe flexion contracture (n = 4) and a valgus deformity (n = 1). All patients had a normal gait, and there were no discrepancies in leg length.
CONCLUSION: A mandible reconstructed using a vascularized fibula flap appears to grow accordingly as the child grows, with minimal disturbance to the growth pattern of the midface.
METHODS: Eleven patients 14 years old or younger who underwent mandibular reconstruction using a free fibula flap were evaluated.
RESULTS: The mean follow-up was 3.4 years. One flap loss occurred and required a second fibula flap. Panorex radiographs showed good bone union and growth in all patients. Functional outcomes were normal according to age in all patients. Two patients had long-term malocclusion. No patients had to undergo corrective orthognathic surgery. Donor-site morbidities consisted of great toe flexion contracture (n = 4) and a valgus deformity (n = 1). All patients had a normal gait, and there were no discrepancies in leg length.
CONCLUSION: A mandible reconstructed using a vascularized fibula flap appears to grow accordingly as the child grows, with minimal disturbance to the growth pattern of the midface.