Vascularized free bone grafts for maxillary and mandibular reconstruction.
Vascularized osteocutaneous free grafts have been successfully applied to maxillofacial reconstruction. Careful planning allows for implant prosthesis fabrication in these cases. The scapula, fibula, and ilium are the donor sites that result in the most favorable application of implant prosthetics. Intraoral soft tissues, although compromised, are manageable with meticulous home oral hygiene practices and frequent recall examinations with professional cleaning. Many patients severely impaired by trauma, neoplasm, or congenital deformity can have restoration of form and function with the amalgamation of microsurgical and osteointegration techniques.
Misiek
D J
DJ
Department of Oral and Maxillofacial Surgery, Louisiana State University School of Dentistry, New Orleans, Louisiana, USA.
D000293:Adolescent; D000714:Anastomosis, Surgical; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005360:Fibula / Q000601:surgery; D005542:Forearm / Q000601:surgery; D006801:Humans; D007085:Ilium / Q000601:surgery; D008297:Male; D008334:Mandible / Q000601:surgery*; D008338:Mandibular Injuries / Q000601:surgery; D008339:Mandibular Neoplasms / Q000601:surgery; D008437:Maxilla / Q000601:surgery*; D008684:Metatarsus / Q000601:surgery; D008875:Middle Aged; D019647:Oral Surgical Procedures / Q000379:methods*; D011884:Radius / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods; D012272:Ribs / Q000637:transplantation; D012540:Scapula / Q000601:surgery; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply*; D020858:Tissue and Organ Harvesting / Q000379:methods; D014457:Ulna / Q000601:surgery