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目的探讨自体肋骨肋软骨游离移植修复一侧下颌骨缺损的效果。方法对13例因肿瘤导致一侧下颌骨缺损的患者,用自体肋骨肋软骨游离移植修复,观察临床疗效。结果其中12例术后未出现植骨床感染,植骨区创口I期愈合;1例术后出现局部感染,经全身抗炎治疗及局部处理后创口愈合。植骨成功率为100%。结论对颌骨缺损、需行颞下颌关节重建时,在血管化骨移植尚未普及的情况下,肋骨肋软骨游离移植是一种较好的修复方法。
Objective To investigate the effect of free rib cartilage transplantation on mandibular defect on one side. Methods Thirteen patients with mandibular defect on one side of the tumor were treated with autologous rib cartilage free graft to observe the clinical effect. Results Twelve cases did not appear bone graft infection after operation. The wounds in the bone graft area healed in one stage. One case had local infection after operation. The wounds were healed after systemic anti-inflammatory treatment and topical treatment. The success rate of bone graft was 100%. Conclusions For the reconstruction of temporomandibular joint to reconstruct the jaw defect, the free rib cartilage transplantation is a good method to repair the jaw defect without vascularized bone graft.