title: [New possibilities for reconstructing extensive jaw defects with prefabricated microvascular fibula transplants and ITI implants].
abstract: The reconstruction of extensive jaw defects is frequently only possible with microvascular bone flaps. Here we are presenting an operative technique using prefabricated fibular flaps and osseointegrated implants. In a first operation, the fibula is prepared with implants, split skin graft, and a nonresorbable membrane. The jaw defect is reconstructed 6 weeks later and can be treated directly with a prosthesis thanks to osseointegrated implants. The technique is described with reference to 5 patients already operated according to this technique and the initial findings are evaluated.
authors.affiliation: Klinik für Wiederherstellende Chirurgie, Universitätsspital Basel, Spitalstrasse 21, 4031 Basel, Schweiz. dennisrohner@hotmail.com
authors.forename: D
authors.initials: D
authors.lastname: Rohner
authors.forename: C
authors.initials: C
authors.lastname: Kunz
authors.forename: P
authors.initials: P
authors.lastname: Bucher
authors.forename: B
authors.initials: B
authors.lastname: Hammer
authors.forename: J
authors.initials: J
authors.lastname: Prein
mesh_terms: D000328:Adult; D000368:Aged; D016025:Bone Transplantation / Q000379:methods*; D003758:Dental Implantation, Endosseous; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008437:Maxilla / Q000601:surgery*; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D013524:Surgical Flaps / Q000098:blood supply