title: Fibula microvascular free tissue reconstruction of the severely comminuted atrophic mandible fracture--case report.
abstract: Severely atrophic comminuted fractures of the mandible often have inadequate bone stock available to allow for adequate rigid fixation and subsequent progression to union. Grafting with rib, iliac crest or a variety of allograft materials is required in order to increase the success rate of the repair in this patient population. In this article, we report our favourable experience in using a fibula microvascular free tissue transfer for the treatment of a particularly challenging patient with a fractured atrophic mandible. Secondary implant rehabilitation completed the reconstruction. This method may represent an alternative in the treatment of fractures of the severely atrophic mandible in select individuals.
authors.affiliation: Department of Oral and Maxillofacial Surgery, University of Texas Southwestern Medical Center in Dallas, TX, USA.
authors.forename: Michael F
authors.initials: MF
authors.lastname: Zide
authors.forename: Yadranko
authors.initials: Y
authors.lastname: Ducic
mesh_terms: D000368:Aged; D001284:Atrophy; D016025:Bone Transplantation / Q000379:methods*; D015921:Dental Implants; D005260:Female; D005360:Fibula; D005500:Follow-Up Studies; D018460:Fractures, Comminuted / Q000601:surgery*; D006801:Humans; D008337:Mandibular Fractures / Q000601:surgery*; D008866:Microsurgery; D018482:Muscle, Skeletal / Q000637:transplantation; D019651:Plastic Surgery Procedures; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps; D016896:Treatment Outcome
chemical_list: D015921:Dental Implants