[Vascularized iliac crest graft with internal oblique muscle for immediate reconstruction of composite mandibular defect].

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  • Author(s): Hu YJ;Hu YJ; Zhong LP; Xu LQ; Qu XZ; Hardianto A; Zhang CP
  • Source:
    Zhonghua zheng xing wai ke za zhi = Zhonghua zhengxing waike zazhi = Chinese journal of plastic surgery [Zhonghua Zheng Xing Wai Ke Za Zhi] 2007 Jul; Vol. 23 (4), pp. 273-6.
  • Publication Type:
    Evaluation Study; Journal Article; Research Support, Non-U.S. Gov't
  • Language:
    Chinese
  • Additional Information
    • Source:
      Publisher: Country of Publication: China NLM ID: 100957850 Publication Model: Print Cited Medium: Print ISSN: 1009-4598 (Print) Linking ISSN: 10094598 NLM ISO Abbreviation: Zhonghua Zheng Xing Wai Ke Za Zhi Subsets: MEDLINE
    • Publication Information:
      Original Publication: Beijing Shih: Zhongguo yi xue ke xue yuan, Zhongguo xie he yi ke da xue, Zheng xing wai ke yan jiu suo, 2000-
    • Subject Terms:
      Abdominal Muscles/*transplantation ; Ilium/*transplantation ; Mandibular Injuries/*surgery ; Soft Tissue Injuries/*surgery; Adolescent ; Adult ; Female ; Humans ; Ilium/blood supply ; Male ; Middle Aged ; Plastic Surgery Procedures/methods ; Retrospective Studies ; Surgical Flaps/blood supply ; Young Adult
    • Abstract:
      Objective: To evaluate the vascularized (deep circumflex iliac vessels) iliac crest graft with internal oblique muscle as a method for reconstruction of composite mandibular defect.
      Methods: Vascularized iliac crest graft with internal oblique muscle was used to reconstruct the composite mandibular defects in 10 patients. All clinical data were analyzed retrospectively. A detailed inspection of the case-notes was undertaken to ascertain the presenting diagnosis, the surgery, the complications and the outcome. The type of mandibular defect was recorded.
      Results: Of the 10 patients with composite mandibular defects including mandibular body, mandibular angle, mandibular ramus and the soft tissue around them, 7 patients were recorded with the defects of mandibular condyles. During the follow-up period from 3 months to 24 months, primary wound healing was observed in all patients, except one patient with minor muscular necrosis. All patients were satisfied with their facial contour and mandibular shape, without tumor recurrence. Donor site problems important enough to be recorded in the notes were minimal.
      Conclusions: The vascularized iliac crest graft with internal oblique muscle offers a useful solution for reconstruction of composite mandibular defect. There is sufficient height and depth of bone to maintain a facial contour and mandibular shape. It can be used as a routine surgical technique to reconstruct composite mandibular defect.
    • Publication Date:
      Date Created: 20071012 Date Completed: 20100309 Latest Revision: 20221207
    • Publication Date:
      20240829
    • Accession Number:
      17926842