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首页> 外文期刊>The Journal of craniofacial surgery >Maxillo-Mandibular Reconstruction in Pediatric Patients: How To Do It?
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Maxillo-Mandibular Reconstruction in Pediatric Patients: How To Do It?

机译:小儿科患者的上颌颌骨重建:如何做到?

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摘要

Maxillo-mandibular reconstruction in pediatric patients involves particular functional and cosmetic implications. Attention is required for the craniofacial growth over time, involvement of the permanent dentition, facial symmetry, and donor site morbidity. Our aim is to identify the best reconstructive options for maxilla-mandibular defects in children (18 years) based on our experience with 25 pediatric patients. We believe that reconstruction has to be performed at the same time as resection in pediatric patients. Local flaps should be reserved for cases of maxillary defects because of malignant neoplasms, which ultimately have poor prognosis. In cases of large mandibular defects, radiotherapy is eventually required. When the condition of the soft tissues is poor (because of previous surgery, etc), free flaps potentially represent the best options. Nevertheless, in patients younger than 5 years old (with no damaged tissues), reconstruction with rib grafts should be performed, and the use of titanium plates should be reserved for very select cases (such as temporary reconstruction in toddlers).
机译:小儿科患者的上颌颌骨重建涉及特定的功能和美容的影响。随着时间的推移,永久性牙列,面部对称性和供体现场发病率的颅面生长需要注意。我们的目标是根据我们25例儿科患者的经验,确定儿童颌骨下颌缺陷的最佳重建选项。我们认为,重建必须在儿科患者中同时进行。由于恶性肿瘤,应保留局部襟翼,因为恶性肿瘤是最终的预后差。在颌骨缺陷大的情况下,最终需要放射疗法。当软组织的状况差(由于之前的手术等),免费襟翼可能代表最佳选择。然而,在5岁以下(没有受损的组织)的患者中,应进行与肋骨移植的重建,应保留使用钛板(如幼儿中的临时重建)。

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