Mandibular reconstruction with vascularized fibula flap and osseointegrated implants: a clinical report.
Primary and secondary reconstruction of mandibular discontinuity defects with vascularized flap is currently the standard of care in many institutions. The most commonly used donor site for such flaps is fibula. Fibula provides enough bone length, allows 2-team approach, and has low donor site morbidity and abundant periosteal blood supply. The placement of endosseous implants in the vascularized fibula flap also facilitates functional dental rehabilitation. This clinical report describes the prosthetic rehabilitation and the complications of 2 mandibular discontinuity defects treated with vascularized fibula flap and implant-supported fixed prosthesis.
Khatami
Amir H
AH
Advanced Education in Prosthodontics, School of Dentistry, Loma Linda University, Loma Linda, Calif, USA. ahkhatami@llu.edu
Toljanic
Joseph A
JA
Kleinman
Alejandro
A
D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy / Q000534:rehabilitation / Q000601:surgery; D016371:Cranial Irradiation / Q000009:adverse effects; D003758:Dental Implantation, Endosseous; D005260:Female; D005360:Fibula / Q000601:surgery; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008336:Mandibular Diseases / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000532:radiotherapy / Q000534:rehabilitation / Q000601:surgery; D008875:Middle Aged; D019647:Oral Surgical Procedures / Q000379:methods*; D016348:Osseointegration; D010025:Osteoradionecrosis / Q000601:surgery*; D018714:Radiotherapy, Adjuvant; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply