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- W3022761750 abstract "Extended mandibular defects can be safely managed by applying microvascular free bone transfer. The flap of choice for this procedure is a fibula free flap due to its anatomical structure, proper length and good plasticity. The body of the mandible can be formed by removing wedge bone segments. However the gonial angle can be formed on a different, safer and easier way by performing axial osteotomy as it is done in the orthognathic surgery. The special advantage of this method is that by setting the exact angle of the ascending mandibular part, the ramus replacer fibula segment is perfectly suitable for the replacement of the head of the mandible. While recalling the anatomy of this region our clinical case demonstrates the functional reconstruction of these two delicate mandibular parts.Az állkapocs kiterjedt hiányát biztonságosan mikrovaszkuláris technikával végzett szabad csontátültetéssel pótolhatjuk. Erre a célra hasonló anatómiai felépítése, megfelelõ hosszúsága és formálhatósága miatt elsõ választásunk a fibula-szabadlebeny. A mandibula teste ék alakú csontszegmensek eltávolításával alakítható ki. Állcsontszögletet azonban e standard módszertõl eltérõen, az ortognát sebészetben alkalmazott axiális irányú oszteotómiával biztonságosabban, egyszerûbben is képezhetünk. A módszer külön elõnye, hogy a felszálló szár pontos irányának beállításával a ramuszt pótló fibulaszegmens a temporomandibuláris ízületi fejecs pótlására is kiválóan alkalmas. A régió anatómiájának felelevenítése mellett, klinikai esetünk e két delikát állcsontterület funkcionális helyreállítását demonstrálja." @default.
- W3022761750 created "2020-05-13" @default.
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- W3022761750 date "2018-09-26" @default.
- W3022761750 modified "2023-09-23" @default.
- W3022761750 title "[Mandibular angle and head reconstruction with fibular free flap]." @default.
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