Multiplanar distraction osteogenesis of fibula free flaps used for secondary reconstruction of traumatic maxillary defects.
Traumatic maxillary bone loss, if not treated acutely, is accompanied by contracture of the overlying soft tissue envelope and loss of facial projection in three dimensions. Reconstruction aimed at replacing the bony architecture, expanding the soft tissue envelope and establishing a platform for dental rehabilitation can be accomplished in a staged approach. We present two patients who underwent replacement of missing maxillary segments with a free fibula flap, followed by distraction of the free fibula in three dimensions and eventual dental rehabilitation with osseo-integrated implants.
Rodriguez
Eduardo D
ED
Division of Plastic, Reconstructive and Maxillofacial Surgery, University of Maryland, R. Adams Cowley Shock Trauma Center and Johns Hopkins School of Medicine, Baltimore, Maryland 21201, USA. erodriguez@umm.edu
Martin
Mark
M
Bluebond-Langner
Rachel
R
Manson
Paul N
PN
D000328:Adult; D005151:Facial Injuries / Q000601:surgery*; D005260:Female; D005360:Fibula / Q000637:transplantation*; D006801:Humans; D008297:Male; D008437:Maxilla / Q000293:injuries / Q000601:surgery*; D008875:Middle Aged; D019857:Osteogenesis, Distraction / Q000379:methods*; D019340:Osteotomy, Le Fort / Q000379:methods*