Xây dựng quy trình thay thế xương hàm dưới bằng xương mác cẳng chân với kỹ thuật vi phẫu có nối cuống mạch

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Tác giả: Mạnh Hà Nguyễn, Cao Bình Trần

Ngôn ngữ: vie

Ký hiệu phân loại: 611.718 Bones of lower extremities

Thông tin xuất bản: Y học Việt Nam, 2017

Mô tả vật lý: 44-47

Bộ sưu tập: Metadata

ID: 538221

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Objective: To build the process of mandibular reconstruction with fibular free flap and microsurgical technique. Subjects and methods: Prospective study, 30 patients who had mandibular defects. Those were indicated mandibular reconstructions with fibular free flap and microsurgical techniques at National Hospital of Odonto-Stomatology, Hanoi from 2012 to 2014. Results: Reconstructed results were good (96,7%), excepted only one case (3,3%). After one year, 100% of patients had good results. 5 patients were placed dental implants (16,6%). This group (implant-prosthetic rehabilitation) had good masticatory functJonal recovery (80%). In contrast, removable prosthodontics had worse result. Conclusions: Mandibular reconstruction with a fibular free flap is the gold standard for functional and esthetic rehabilitation. The process has 6 steps. Particularly, the fibular free flap was transferred with 21 steps and the bone was reconstructed with 6 steps.Xây dựng quy trình vi phẫu trong phục hồi khuyết đoạn xương hàm dưới bằng vạt xương mác cẳng chân có cuống mạch nuôi trên 30 bệnh nhân tại bệnh viện Răng hàm mặt Trung ương Hà Nội từ 2012-2014. Kết quả cho thấy tái tạo khuyết hổng xương hàm dưới bằng vạt xương mác có nối cuống mạch nuôi đem lại hiệu quả cao trong phục hồi thẩm mỹ và chức năng cho người bệnh theo quy trình 6 bước chính, trong đó kỹ thuật lấy vạt xương mác có 21 bước và tạo hình xương hàm dưới bằng vạt xương mác có 7 bước.

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