[Maxilla reconstruction with the free iliac osteomuscular flap and simultaneous osseointegrated implant embeding].
OBJECTIVE
To evaluate the clinical outcome of reconstruction of maxillary defects with vascularized iliac crest flap and simultaneous osseointegrated implant embedding.


METHODS
During September to October 2003, two patients with maxillary defects from tumor resection underwent microsurgical reconstruction. The free iliac osteomuscular flap transferring and simultaneous osseointegrated implant embedding were performed to repair the defects. Three months after the reconstructive surgery, an abutment operation was preformed and denture was applied in both cases.


RESULTS
The flaps survived well. Postoperative follow-up for 8 to 9 months showed that the patients obtained good zygomaxillary appearance, normal occlusion, and satisfactory pronunciation, without oronasal fistula or other serious complications.


CONCLUSIONS
The free iliac crest osteomuscular flap with simultaneous osseointegrated implant embedding is an ideal, effective and cosmetically acceptable method for maxilla reconstruction.
Liao
Gui-qing
GQ
Department of Oral and Maxillofacial Surgery,Guanghua College of Stomatology, Sun Yatsen University, Guangzhou, China.
Su
Yu-xiong
YX
Zeng
Rong-sheng
RS
Zhang
Zhi-guang
ZG
Zheng
You-hua
YH
Deng
Fei-long
FL
Chen
Zhuo-fan
ZF
Hou
Jin-song
JS
D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D006801:Humans; D007085:Ilium / Q000637:transplantation*; D008297:Male; D008437:Maxilla / Q000601:surgery*; D008875:Middle Aged; D014184:Transplantation, Homologous; D016896:Treatment Outcome