[New possibilities for reconstructing extensive jaw defects with prefabricated microvascular fibula transplants and ITI implants].
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.
Rohner
D
D
Klinik für Wiederherstellende Chirurgie, Universitätsspital Basel, Spitalstrasse 21, 4031 Basel, Schweiz. dennisrohner@hotmail.com
Kunz
C
C
Bucher
P
P
Hammer
B
B
Prein
J
J
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