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首页> 外文期刊>Maxillofacial Plastic and Reconstructive Surgery >Condyle dislocation following mandibular reconstruction using a fibula free flap: complication cases
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Condyle dislocation following mandibular reconstruction using a fibula free flap: complication cases

机译：使用腓骨游离皮瓣的下颌重建后的突脱位：并发症

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Abstract BackgroundCondylar dislocation can arise as a complication in patients who required mandibular and/or condylar reconstruction and were operated on with fibula free flap (FFF) using surgical guides designed using simulation surgery. Surgeons should be aware of the complications in these present cases when planning and performing reconstructions as well as predicting prognoses.Cases presentationTwo cases showed condylar dislocation in mandibular reconstruction using a FFF fixed with a reconstruction plate. Three cases showed condylar dislocation in mandibular reconstruction using a fibula free flap fixed with a mini-plate.ConclusionDespite the lack of clinical symptoms in these cases following mandibular reconstruction using an FFF, the mandibular condyle was severely displaced away from the glenoid fossa. A surgeon must have sufficient time to consider the use of a long flap with thickness similar to that of the mandible, ways to minimize span and bending, and methods of fixation. The patient, moreover, should be educated on condylar dislocation. Customized CAD/CAM-prototyped temporomandibular condyle-connected plates may be a good alternative even if virtual simulation surgery is to be performed before surgery. These considerations may help reduce the incidence of complications after mandibular reconstruction.
机译：摘要背景required突脱位可作为需要下颌和/或con突重建并使用模拟手术设计的手术指南进行腓骨游离皮瓣（FFF）手术的患者的并发症。外科医生在计划和执行重建以及预测预后时应意识到这些情况下的并发症。病例介绍两例病例显示，在使用固定有重建钢板的FFF进行下颌重建时，con突脱位。 3例使用无小腓骨小板固定在下颌骨重建术中的con突脱位。结论尽管在这些病例中使用FFF进行下颌骨重建后缺乏临床症状，但下颌骨dy突严重远离髋臼窝移位。外科医生必须有足够的时间来考虑使用厚度与下颌骨相似的长瓣，最小化跨度和弯曲度的方法以及固定方法。此外，应就con突脱位对患者进行教育。定制的CAD / CAM原型颞下颌con突连接板可能是一个不错的选择，即使在手术前要进行虚拟模拟手术。这些考虑因素可能有助于减少下颌重建后并发症的发生。

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