腓骨肌皮瓣修复6岁儿童创伤性口腔颌面部缺损：1例报告及文献复习

doi:10.19438/j.cjoms.2018.05.019

中国口腔颌面外科杂志 ›› 2018, Vol. 16 ›› Issue (5): 475-477.doi: 10.19438/j.cjoms.2018.05.019

腓骨肌皮瓣修复6岁儿童创伤性口腔颌面部缺损：1例报告及文献复习

江灿洋, 黄立, 李军, 邱宇, 高炳菊, 林李嵩

福建医科大学附属第一医院口腔颌面外科,福建医科大学面部整复与重建研究室, 福建省颌面医学中心,福建福州 350005

收稿日期:2018-03-26 出版日期:2018-09-20 发布日期:2018-11-06
通讯作者: 林李嵩,E-mail:dr_lls@163.com
作者简介:江灿洋（1989-）,男,硕士,住院医师,E-mail：568922632@qq.com
基金资助:
福建省科技计划引导项目（2018Y0026）; 福建省卫生计生中青年骨干人才培养项目（2016-ZQN-48）; 福建医科大学高等教育教学改革工程项目（J16026）; 福建省卫计委创新课题（2018-CX-27）

Oral and maxillofacial reconstruction with a fibular osteocutaneous free flap in a 6-year-old child with trauma: report of a case and literature review

JIANG Can-yang, HUANG Li, LI Jun, QIU Yu, GAO Bin-ju, LIN Li-song

Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Fujian Medical University; Facial Plastic Surgery and Reconstruction of Fujian Medical University; Craniofacial Medical Center of Fujian Province. Fuzhou 350005,Fujian Province,China

Received:2018-03-26 Online:2018-09-20 Published:2018-11-06

摘要/Abstract

摘要： 临床上造成口腔颌面部缺损的原因主要有肿瘤、瘢痕切除和创伤等,但很少有切割伤导致口腔颌面部软、硬组织大面积缺损的报道,儿童更为罕见,在治疗上具有极大的难度与挑战。本文报告1例制备游离血管化腓骨肌瓣带有巨大皮岛修复重建6岁儿童口腔颌面部软、硬组织重度缺损的病例,并对相关文献进行复习。

关键词: 儿童, 口腔颌面缺损, 腓骨肌皮瓣

Abstract: The causes leading to oral and maxillofacial defects included tumor surgery, scar excision, trauma and etc. There was few report about defects of oral and maxillofacial soft-hard tissues caused by sharp incision, especially in children. There were enormous difficulties and challenges to treat in this circumstance. This paper reported a 6-year-old child who had serious defects of oral and maxillofacial soft-hard tissues, reconstructed with a vascularized fibular osteocutaneous free flap, and reviewed relevant literatures.

Key words: Children, Oral and maxillofacial defect, Fibular osteocutaneous free flap

中图分类号:

R782.2

江灿洋, 黄立, 李军, 邱宇, 高炳菊, 林李嵩. 腓骨肌皮瓣修复6岁儿童创伤性口腔颌面部缺损：1例报告及文献复习[J]. 中国口腔颌面外科杂志, 2018, 16(5): 475-477.

JIANG Can-yang, HUANG Li, LI Jun, QIU Yu, GAO Bin-ju, LIN Li-song. Oral and maxillofacial reconstruction with a fibular osteocutaneous free flap in a 6-year-old child with trauma: report of a case and literature review[J]. China J Oral Maxillofac Surg, 2018, 16(5): 475-477.

参考文献

[1] 毛驰, 彭歆, 黄敏娴,等.儿童患者头颈部游离组织瓣移植的临床分析[J]. 华西口腔医学杂志, 2004, 22(6): 477-480.
[2] Faria JC, Batista BN, Sennes LU, et al.Mandibular reconstruction with a fibular osteocutaneous free flap in an 8-month-old girl with a 12-year follow-up[J]. Microsurgery, 2014, 34(1): 51-53.
[3] 周铜, 邱勋永, 沈宁江, 等. 儿童游离组织瓣修复组织缺损27例的临床分析[J]. 中华显微外科杂志, 2014, 37(1): 26-28.
[4] Markiewicz MR, Ruiz RL, Pirgousis P, et al.Microvascular free tissue transfer for head and neck reconstruction in children: part I[J]. J Craniofac Surg,2016, 27(4): 846-856.
[5] 张赛, 张龙城. 下颌骨缺损修复的研究进展[J]. 中国耳鼻咽喉颅底外科杂志, 2017, 23(2): 177-181.
[6] Spector JA, Warren SM, Singh SP, et al.Marriage of hard and soft tissues of the face revisited: when distraction meets microsurgery[J]. Ann Plast Surg, 2007, 59(1): 1-5.
[7] Genden EM, Buchbinder D, Chaplin JM, et al.Reconstruction of the pediatric maxilla and mandible[J]. Arch Otolaryngol Head Neck Surg, 2000, 126(3): 293-300.
[8] Cicciù M, Herford AS, Cicciù D, et al.Recombinant human bone morphogenetic protein-2 promote and stabilize hard and soft tissue healing for large mandibular new bone reconstruction defects[J]. J Craniofac Surg, 2014, 25(3): 860-862.
[9] Posnick JC, Wells MD, Zuker RM.Use of the free fibular flap in the immediate reconstruction of pediatric mandibular tumors: report of cases[J]. J Oral Maxillofac Surg, 1993, 51(2): 189-196.
[10] 徐立群, 张陈平, 张志愿, 等. 血管化游离组织瓣在口腔颌面头修复中的应用:4640例临床分析[J]. 实用肿瘤杂志, 2015, 30(1): 18-21.
[11] Crosby MA, Martin JW, Robb GL, et al.Pediatric mandibular reconstruction using a vascularized fibula flap[J]. Head Neck, 2008, 10(1): 311-319.

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腓骨肌皮瓣修复6岁儿童创伤性口腔颌面部缺损：1例报告及文献复习

Oral and maxillofacial reconstruction with a fibular osteocutaneous free flap in a 6-year-old child with trauma: report of a case and literature review

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