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Fortschritte der Kiefer- und Gesichts-Chirurgie最新文献

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[Indications for 76 free surgical flaps for mandibular reconstruction]. [76例游离皮瓣用于下颌骨重建的适应证]。
E Fischer-Brandies, E Dielert, W Stock, P Gorenflos

Since 1985 76 revascularized osseous and osseocutaneous flaps collected from different donor sites were transferred. The overall rate of success amounted to 94.7%, 48.7% of the patients had previously undergone radiotherapy with tumor dose. Even though an elevated number of certain complications in cases of an irradiated recipient area occurred a critical analysis reveals the high value of the reanastomized flap in this situation. Proven indications are described in detail.

自1985年以来,我们移植了76个来自不同供体部位的带血管重建的骨和骨皮皮瓣。总成功率为94.7%,48.7%患者曾接受过肿瘤剂量放疗。即使某些并发症的数量增加的情况下,辐照受体区域发生了一个关键的分析表明,在这种情况下,再吻合皮瓣的高价值。详细描述了已证实的适应症。
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引用次数: 0
[Results and complications of 120 microsurgical mandibular reconstructions--aspects on indications and surgical technique today]. 【120例显微下颌骨重建术的结果及并发症——当今适应症及手术技术】。
M Ehrenfeld, C P Cornelius, D Riediger, R Schmelzle, N Schwenzer
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引用次数: 0
[Free and microvascular miniplate osteoplasty in reconstruction of the mandible after tumor resection]. 游离微血管微型钢板成形术在肿瘤切除后下颌骨重建中的应用。
U W Wahlmann, W Wagner, H D Kuffner
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引用次数: 0
[Results of mandibular reconstruction with autologous free bone transplants]. [自体游离骨移植重建下颌骨的临床效果]。
H D Pape, K L Gerlach, C Schippers
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引用次数: 0
[Hyperbaric oxygen therapy--an adjuvant therapeutic procedure with problem cases in reconstructive bone surgery]. [高压氧治疗——骨重建手术中问题病例的辅助治疗方法]。
S Steckeler, U Bötel, V Warninghoff

Prolonged and compromised wound-healing, i.e. in scar tissue or after irradiation, often causes problems, especially when free transplants, for example for bony reconstruction of the mandible after resection of tumor, are used. Hyperbaric Oxygen Therapy (HBO) means breathing of pure (100%) oxygen under increased athmospherical pressure. HBO induces high oxygen partial pressure in all tissues and also has an antioedematous effect, causes activation of fibroblasts and macrophages, stimulates angioneogenesis and has a bacteriostatic and bacteriocidic effect. We used HBO since 1991 in 27 patients, nine of them underwent bony reconstruction of the mandible. In our opinion HBO is a very helpful tool in the management of problem-wound-healing, assisting the classical surgical principles.

伤口愈合时间的延长和受损,即在疤痕组织或照射后,往往会引起问题,特别是当使用游离移植时,例如在切除肿瘤后进行下颌骨骨重建。高压氧疗法(HBO)是指在大气压升高的情况下呼吸纯氧(100%)。HBO在所有组织中诱导高氧分压,并具有抗水肿作用,引起成纤维细胞和巨噬细胞的活化,刺激血管新生,具有抑菌和杀菌作用。自1991年以来,我们使用HBO治疗了27例患者,其中9例进行了下颌骨重建。在我们看来,高压氧是一个非常有用的工具,在处理问题的伤口愈合,辅助经典的手术原则。
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引用次数: 0
[Management of resection defects of the facial skull with individual titanium supports]. [单独钛支架治疗颅面缺损]。
C U Fritzemeier
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引用次数: 0
[Bone replacement in contour defects and asymmetries of the facial skull by hydroxyapatite ceramics]. [羟基磷灰石陶瓷在面部颅骨轮廓缺损和不对称骨置换中的应用]。
E Krüger, K Krumholz, B Niederhagen
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引用次数: 0
[Defect bridging and augmentation of the mandible by transplantation of locally cultured bone in a porous matrix]. [局部培养骨在多孔基质中移植修复下颌骨缺损]。
H Schliephake, F W Neukam, D Hutmacher

In the present study, 9 Göttingen Minipigs received one porous hydroxylapatite block each on the buccal cortex of their mandibles. Autogenous bone was gained inside these blocks by using a polylactic membrane covering for guided tissue regeneration. The blocks showed thorough penetration by bone tissue after 5 months and were transplanted as onlay grafts and for restoration of mandibular defects. The onlay grafts were fixed by titanium fixtures and miniplates respectively. Histologic examination 3 months after transplantation showed maintenance and remodelling of the transplanted bone inside the pores of the blocks in most specimens. There war a soft tissue free contact between the transplanted bone and the inserted fixtures and screws. Results indicate that autogenous bone may be gained inside a porous matrix of calcium phosphate and be transplanted for reconstruction of contour and discontinuity defects.

在本研究中,9只Göttingen迷你猪在下颌骨颊皮质各接受一个多孔羟基磷灰石块。自体骨通过使用聚乳酸膜覆盖来引导组织再生。5个月后,骨块被骨组织完全穿透,可作为嵌体移植物移植,用于修复下颌缺损。嵌体移植物分别采用钛支架和微型钢板固定。移植后3个月的组织学检查显示,大多数标本的移植骨在骨块的孔隙内维持和重塑。移植骨与植入的固定装置和螺钉之间有软组织自由接触。结果表明,自体骨可以在多孔磷酸钙基质中获得,并可移植用于轮廓和不连续缺陷的重建。
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引用次数: 0
[Monitoring microvascular osteomyocutaneous flaps by measuring tissue oxygen pressure]. [通过测量组织氧压监测微血管骨骼肌皮瓣]。
M Weiss, D Hellner, R Schmelzle
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引用次数: 0
[Microsurgical soft tissue and bone transplantation for covering large maxillary defects]. 显微外科软组织及骨移植治疗上颌大面积缺损
D Riediger, M Ehrenfeld
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引用次数: 0
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Fortschritte der Kiefer- und Gesichts-Chirurgie
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