Successful total mandibular reconstruction using a fibular graft with long-term follow-up: A case report

Takahiro Abe , Hideaki Kitada , Jun Sato , Yutaka Yamazaki , Ken-ichi Notani , Taihiko Yamaguchi , Yoshimasa Kitagawa
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引用次数: 5

Abstract

Restoring shape and functions in patients with total mandibular defect is difficult. We report the use of a fibular bone graft for successful total mandibular reconstruction of a patient with traumatic injury to the mandible. A 56-year-old man experienced a work-related injury to the maxillo-facial region and underwent total mandibular resection. Five years later, he remains satisfied with his facial configuration and has minimal dysfunction in daily activities, including speaking, swallowing, and eating. Evaluation of the functional adaptation of his facial muscles by electromyography (EMG) showed that his orbicularis oris muscle may have compensated for masticatory muscle dysfunctions during mouth opening and swallowing.

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腓骨移植成功重建全下颌骨并长期随访:1例报告
下颌缺损患者的形状和功能的恢复是困难的。我们报告使用腓骨移植物成功重建一个病人的下颌骨创伤性损伤。一个56岁的男人经历了工作伤害到颌面区,并接受了全下颌切除术。5年后,他仍然对自己的面部形态感到满意,日常活动(包括说话、吞咽和进食)功能障碍最小。通过肌电图(EMG)评估其面部肌肉的功能适应性显示,他的口轮匝肌可能补偿了咀嚼肌在张嘴和吞咽时的功能障碍。
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