Journal of Okayama Medical Association
Published by Okayama Medical Association

Full-text articles are available 3 years after publication.


高木 愼 岡山大学大学院医歯薬総合研究科 顎口腔再建外科学
水川 展吉 岡山大学医学部歯学部附属病院 口腔外科(再建系)
福永 城司 姫路市
石田 展久 岡山大学医学部歯学部附属病院 口腔外科(再建系)
丸尾 幸憲 岡山大学大学院医歯薬総合研究科 咬合・有床義歯補綴学
完山 学 岡山大学大学院医歯薬総合研究科 インプラント再生補綴学
木股 啓裕 岡山大学大学院医歯薬総合研究科 形成再建外科学
光嶋 勲 東京大学大学院医学系研究科 感覚・運動機能医学
Thumnail 121_17.pdf 12.5 MB
 Defects of the jawbone have conventionally been repaired using free bone grafts and metallic plates, but patients undergoing reconstruction using these materials experience difficulty using dentures and restoring masticatory function. The use of vascularized bone grafts, which has recently been enabled, has improved bone graft survival rates, and its combination with dental implants has enabled both morphological and functional reconstruction, leading to a higher quality of life.  We experienced two patients with tumors of the jaw that were treated by resecting and reconstructing it using a vascularized bone graft with the cooperation of the Department of Plastic Surgery in the School of Medicine. We subsequently inserted dental implants, and the superstructure was created by the Department of Prosthetics. We report the course of these patients, who achieved sufficient jaw morphology as well as masticatory function and who are presently satisfied overall three years to three years and nine months postoperatively.
血管柄付骨移植 (vascularized bone graft)
顎骨再建 (mandibular reconstruction)
インプラント (implant)
咬合再建 (occlusal reconstruction)