口腔医学研究 ›› 2023, Vol. 39 ›› Issue (4): 375-377.DOI: 10.13701/j.cnki.kqyxyj.2023.04.019

• 研究生病例精粹———口腔修复系列(4) • 上一篇    

节段性下颌骨切除腓骨重建后全口义齿修复1例

刘纯, 王静文, 赵蕤, 赵欣欣, 赵熠*   

  1. 湖北省口腔基础医学重点实验室-省部共建国家重点实验室培育基地,口腔生物医学教育部重点实验室(武汉大学),武汉大学口腔医院修复科 湖北 武汉 430079
  • 收稿日期:2022-03-08 出版日期:2023-04-28 发布日期:2023-04-19
  • 通讯作者: *赵熠,E-mail:zhao_yi@whu.edu.cn
  • 作者简介:刘纯(1995~ ),女,四川广安人,硕士,医师,研究方向:美学修复、颌骨缺损修复、复杂咬合重建。

Complete Denture Rehabilitation for Patient with A Free Fibula Flap after Segmental Mandibulectomy: A Case Report

LIU Chun, WANG Jingwen, ZHAO Rui, ZHAO Xinxin, ZHAO Yi*   

  1. The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, Department of Oral & Maxillofacial Surgery, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2022-03-08 Online:2023-04-28 Published:2023-04-19

摘要: 下颌骨缺损血管化游离骨移植后,因重建的骨高度不足,附着龈、前庭沟、舌颌沟缺失,使义齿修复极具挑战性。本文报道了1例因药物相关性颌骨坏死行节段性下颌骨切除血管化游离腓骨重建,术后采取调整后的全口义齿修复方案恢复咀嚼、发音、美观功能的治疗案例。

关键词: 下颌骨缺损, 重建, 全口义齿

Abstract: After reconstruction of mandibular defects with vascularized free bone graft, the prosthetic restoration is challenging due to the less height of the reconstructed mandible, absence of attached gingiva, vestibular groove, and mandibular-lingual groove. This paper reports a case of an adjusted complete denture rehabilitation of the edentulous jaw with fibula reconstruction of segmental mandibulectomy due to medcation-related osteonecrosis, with better results of mastication, esthetics, and function.

Key words: mandibular defect, reconstruction, complete denture