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目的探讨合理选择髂骨或肋骨修复下颌骨切除术后缺损的方法。方法对10例进行同期下颌骨切除的下颌骨肿瘤患者,根据患者下颌骨肿瘤的性质,以及下颌骨切除缺损的大小,分别切取髂骨或肋骨进行修复,术后观察植骨的成活情况及功能,面容恢复情况。结果10例患者中,除1例口内创面部分裂开,其余创面Ⅰ期愈合,无1例发生植骨感染、坏死。术后观察见面部外形恢复良好,咀嚼功能得以恢复。结论下颌骨切除术后同期选择合适的肋骨或髂骨修复,可以取得良好的效果。
Objective To explore a reasonable method of selecting ilium or rib to repair the defect after mandibular resection. Methods Ten patients with mandibular tumors undergoing simultaneous mandibular resection were treated with iliac or rib resection according to the nature of the mandibular tumor and the size of the mandibular resection. The survival and function of the grafted bone were observed , Face recovery situation. Results Of the 10 patients, only one of the wounds in the oral cavity was partially dehiscent and the rest of the wounds healed in the first phase. No one had bone graft infection or necrosis. Postoperative observation showed a good facial shape recovery, masticatory function was restored. Conclusions The appropriate rib or ilium repair after mandibular resection can achieve good results.