Placement of implants in the mandible reconstructed with free vascularized fibula flap: comparison of 2 cases.
The reconstruction of mandibular continuity defects after tumor resection with free vascularized bone flaps is considered to be a treatment option. Although the fibula flap presents many advantages, it does not offer sufficient bone height to restore the alveolar arch when reconstruction involves a dentate mandible. In this report, 2 patients who were referred to our clinic with reconstructed mandibles with diagnosis of amelablastoma are presented and compared. The mandibles of these patients were reconstructed with free vascularized fibula flaps. Whereas one of the reconstructed mandibles was vertically distracted before implant placement, distraction procedure was not carried out for the other patient. Increasing height of the fibula flap by distraction osteogenesis before implant placement in dentate mandible is desirable from a functional and esthetic point of view.
Kürkcü
Mehmet
M
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cukurova University, Adana, Turkey.
Benlidayi
Mehmet Emre
ME
Kurtoğlu
Cem
C
Kesiktaş
Erol
E
D000328:Adult; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D000564:Ameloblastoma / Q000534:rehabilitation / Q000601:surgery; D016025:Bone Transplantation / Q000379:methods*; D003758:Dental Implantation, Endosseous / Q000379:methods*; D005260:Female; D005360:Fibula / Q000601:surgery; D006801:Humans; D008334:Mandible / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000534:rehabilitation* / Q000601:surgery; D019857:Osteogenesis, Distraction; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps / Q000098:blood supply; D014716:Vertical Dimension