Osseointegrated implants in microvascular fibula free flap reconstructed mandibles.
In the past, prosthodontic rehabilitation of patients who underwent segmental mandibular resection relied on removable prostheses, which were less than ideal. The advent of the microvascular free flap has provided improved appearance and function through reconstruction of the skeletal integrity of the mandible. In select patients osseointegrated implants strategically placed in the reconstructed mandible can be used to restore masticatory function. Patient selection criteria and techniques are discussed.
Huryn
J M
JM
Dental Service, Memorial Sloan-Kettering Cancer Center, New York, N.Y.
Zlotolow
I M
IM
Piro
J D
JD
Lenchewski
E
E
D000293:Adolescent; D000328:Adult; D000368:Aged; D016025:Bone Transplantation / Q000379:methods*; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D003829:Denture, Partial; D005260:Female; D005360:Fibula / Q000098:blood supply / Q000637:transplantation*; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000534:rehabilitation*; D008833:Microcirculation; D008875:Middle Aged; D010361:Patients; D013524:Surgical Flaps / Q000502:physiology*
D015921:Dental Implants