带血管的髂嵴瓣联合双肌皮岛修复龈鳞癌术后颊、下颌复合缺损1例。

IF 2 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Bang Zeng , Hao Lin , Diarra Drissa , Renbin Zhou , Lei Ma , Xinyi Zhao , Jialiang Chen , Tianfu Wu , Bing Liu
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引用次数: 0

摘要

下颌牙龈鳞状细胞癌(GSCC)是一种具有挑战性的恶性肿瘤,通常需要广泛的手术切除和复杂的重建。本研究报告一位69岁男性左下颌骨GSCC患者,采用下颌骨节段性切除术和选择性颈部剥离术治疗,随后采用带双肌-皮岛的旋髂深动脉血管化髂骨瓣重建。术前虚拟手术计划和3d打印手术指南有助于精确截骨和优化皮瓣设计。切除的髂骨瓣提供了强健的血管化,足够的骨容量以维持下颌骨的连续性,以及双皮肤瓣以覆盖口内和口外软组织。术后评估显示良好的功能和美观效果,骨整合稳定,软组织重建可行,无复发。本病例强调了DCIA髂骨瓣在恢复下颌结构和口腔功能方面的多功能性,突出了微血管手术、3D规划和患者特异性重建策略的进步。本病例强调了DCIA皮瓣在处理复杂颌面缺损方面的潜力。然而,重要的是要注意,这些发现完全来自单一病例的分析。因此,在未来的研究中,需要更大规模的队列研究来验证其在实际场景中的适用性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Vascularized iliac crest flap with double musculocutaneous skin islands for reconstruction of composite buccal and mandibular defects after gingival squamous cell carcinoma resection: A case report
Mandibular gingival squamous cell carcinoma (GSCC) is a challenging malignancy often requiring extensive surgical resection and complex reconstruction. This study presents a 69-year-old male with left mandibular GSCC, treated with segmental mandibulectomy and selective neck dissection, followed by reconstruction using a deep circumflex iliac artery (DCIA) vascularized iliac crest flap with double musculocutaneous skin islands. Preoperative virtual surgical planning and 3D-printed surgical guides facilitated precise osteotomy and optimal flap design. The harvested iliac flap provided robust vascularization, adequate bone volume for mandibular continuity, and dual skin paddles for intraoral and extraoral soft tissue coverage. Postoperative evaluation demonstrated excellent functional and aesthetic outcomes, with stable osseous integration, viable soft tissue reconstruction, and no recurrence. This case underscores the versatility of the DCIA iliac crest flap in restoring both mandibular structure and oral function, highlighting advancements in microvascular surgery, 3D planning, and patient-specific reconstruction strategies. This case highlights the potential of the DCIA flap in addressing complex maxillofacial defects. However, it is critical to note that these findings are exclusively derived from a single-case analysis. Therefore, a larger cohort study is needed in future research to validate its applicability in practical scenarios.
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来源期刊
Journal of Stomatology Oral and Maxillofacial Surgery
Journal of Stomatology Oral and Maxillofacial Surgery Surgery, Dentistry, Oral Surgery and Medicine, Otorhinolaryngology and Facial Plastic Surgery
CiteScore
2.30
自引率
9.10%
发文量
0
审稿时长
23 days
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