Research Progress on Solutions to Insufficient Mandibular Height after Vascularized Free Fibula Reconstruction for Mandibular Defects
Year: 2025
Type: article
Abstract: 肿瘤切除、外伤、感染等因素常常造成下颌骨缺损，严重影响患者面容及功能，血管化骨移植是重建下颌骨缺损的金标准，其中游离腓骨瓣长久以来被视为重建下颌骨缺损的首选皮瓣，然而，腓骨垂直高度仅为下颌骨一半左右，重建后垂直骨量明显不足，影响后续种植修复，随着外科技术的发展，这一问题也得以解决。本文主要讨论目前腓骨重建下颌骨高度不足的各种解决方案，并分析比较各种方法的优缺点及临床效果，以期为临床医生提供参考。Mandibular defects often result from factors such as tumor resection, trauma, and infection, significantly affecting patients’ facial appearance and function. Vascularized bone grafting is the gold standard for reconstructing mandibular defects, among which the free fibula flap has long been regarded as the preferred flap for mandibular reconstruction. However, the vertical height of the fibula is only about half of that of the mandible, leading to a significant deficiency in vertical bone volume after reconstruction and affecting subsequent implant restoration. With advancements in surgical techniques, this issue has been addressed. This article primarily discusses various solutions to the problem of insufficient mandibular height after fibular reconstruction, and compares the advantages, disadvantages, and clinical effects of each method, aiming to provide a reference for clinicians.
Source: Advances in Clinical Medicine
Author: 麒麟 李
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4409370288