[Microsurgical anastomosis of the bone transplant as implant site in the maxilla].
A total of 27 vascularized iliac crest segments and four vascularized scapula transplants were transferred to achieve masticatory rehabilitation in 31 patients suffering from extensive maxillary defects; 83 Brånemark implants and 16 IMZ implants were inserted 4-8 months after the bone transplantation. The implants were uncovered 6-8 months after insertion. All patients were provided with a bar-fixed, removable prosthesis. At an average insertion period of 4.5 years, the implant loss rate was 18.8%. The effectiveness of a combination of microsurgical bone transplantation and implantation in treating serious maxillary defects is thus demonstrated.
Klinik für Zahn-, Mund-, Kiefer- und Plastische Gesichtschirurgie, Universitätsklinikum, RWTH Aachen.
D
D
Riediger
H
H
Feifel
S
S
Jänicke
N
N
Schwenzer
D000540:Alveolar Ridge Augmentation; D000714:Anastomosis, Surgical; D016025:Bone Transplantation; D003758:Dental Implantation, Endosseous; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008437:Maxilla / Q000473:pathology / Q000601:surgery; D008441:Maxillary Neoplasms / Q000473:pathology / Q000601:surgery*; D008866:Microsurgery; D008875:Middle Aged; D012086:Reoperation; D013536:Suture Techniques; D014945:Wound Healing / Q000502:physiology
Mikrochirurgisch anastomosiertes Knochentransplantat als Implantatlager im Oberkiefer.