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目的:将带蒂颅骨外板移植应用于口腔颌面外科患者。方法:以带颞浅动脉的帽状腱膜、无名筋膜和骨膜为蒂的顶骨外板,及以骨膜、无名筋膜和颞筋膜为蒂的顶骨外板,即刻重建有继发感染的下颌骨肿瘤切除后缺损和整复颜面软硬组织发育不足的患者共10例。结果:全部病例一期愈合,并获满意效果。主要优点为抗感染力强,抗吸收性强,供区接近受区,外形与颌骨相仿,可转移范围大,不必切断颧弓,骨愈合不受放疗影响,疤痕隐蔽,颞区不留明显凹陷畸形。主要缺点是骨片较薄,操作较困难,中年以上患者不适用。结论:本法是可供颌面骨缺损及软组织萎缩的理想整复方法之一
OBJECTIVE: To apply pedicled skull plating to patients with oral and maxillofacial surgery. Methods: The cephalic aponeurosis with superficial temporal artery, cephalic fascial and periosteum-like periosteum, and the parietal bone plate pedicled with periosteum, unnamed fascia and temporal fascia were reconstructed with immediate infection 10 cases of mandibular tumor after excision and restoration of facial soft and hard tissue underdeveloped patients. Results: All the cases were healed in the first period and satisfactory results were obtained. The main advantages of strong anti-infective, anti-absorption of strong, for the area close to the area, the shape and the jaw similar to the transfer of a wide range without having to cut off the zygomatic arch, bone healing without radiotherapy, scar concealment, Depression deformity. The main disadvantage is the thinner bone, the operation is more difficult, not suitable for middle-aged patients. Conclusion: This method is one of the ideal reconstruction methods for maxillofacial defects and soft tissue atrophy