种植导向的血管化腓骨肌皮瓣移植在颌面部骨缺损重建修复中的临床应用

Clinical Application of Vascularized Fibula Free Flap Transplantation Combined with Implantation in Reconstruction and Repair of Maxillofacial Bone Defect

摘要: 外伤、肿瘤、手术等一系列的原因，可能会导致患者出现颌面部的骨缺损，往往伴随大面积的牙列缺损，相对应的咀嚼及发音功能也受到较大影响。而随着种植外科的不断发展，关注点也不再只局限于颜面外形上的恢复，更多转移至口腔功能上的重建修复。为了同时覆盖这两种需求，目前临床上应用较多的方式主要是通过游离骨组织瓣(包括腓骨肌皮瓣、髂骨肌皮瓣、肩胛骨肌皮瓣等)来修复相应大面积软硬组织复合缺损，而后修复牙列缺损。本文主要讨论其中的游离血管化腓骨肌皮瓣移植结合日益成熟的种植外科技术，修复伴牙列缺损的颌面部骨组织缺损，以达到最大程度恢复患者术后美观及功能需求的相关临床进展。

Abstract: A series of reasons such as trauma, tumor, surgery, etc. may cause the patient to have maxillofacial bone defect, which is often accompanied by large area of dentition defect, and the corresponding chewing and pronunciation functions are also greatly affected. With the continuous development of implant surgery, the focus is no longer limited to the restoration of facial appearance, but more to the reconstruction and restoration of oral function. In order to cover these two needs at the same time, the current clinical application is mainly to use free bone tissue flaps (including fibula free flap, iliac crest free flap, scapula free flap, etc.) to repair the complex maxillofacial defect, and then the dentition defect. This article mainly discusses the related clinical progress of vascularized fibula free flap transplantation combined with increasingly mature implant surgery techniques to repair maxillofacial bone tissue defects and dentition defects in order to maximize the recovery of postoperative aesthetic and functional needs of patients.