title: Reconstruction of a maxillectomy patient with an osteocutaneous flap and implant-retained fixed dental prosthesis: a clinical report.
abstract: This clinical report describes a multidisciplinary approach in the implant rehabilitation of a 53-year-old white male diagnosed with chondrosarcoma. Following a maxillectomy and insertion of a surgical obturator, the patient was unable to adapt physically and psychologically to the removable prosthesis. The patient underwent a microvascular free tissue transfer using an osteocutaneous free fibula flap to reconstruct a right/left infrastructure maxillectomy defect, a soft tissue modification of the skin component using an implant retained stent, and placement of maxillary dental implants to retain a fixed prosthesis. Prosthodontic planning and treatment considerations are discussed.
authors.affiliation: Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada. caroline.nguyen@ubc.ca
authors.forename: Caroline T
authors.initials: CT
authors.lastname: Nguyen
authors.forename: Carl F
authors.initials: CF
authors.lastname: Driscoll
authors.forename: Dominick P
authors.initials: DP
authors.lastname: Coletti
mesh_terms: D002813:Chondrosarcoma / Q000534:rehabilitation* / Q000601:surgery; D000044:Dental Abutments; D003758:Dental Implantation, Endosseous / Q000295:instrumentation / Q000379:methods; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D003830:Denture, Partial, Fixed; D005360:Fibula / Q000637:transplantation; D006801:Humans; D008297:Male; D008441:Maxillary Neoplasms / Q000534:rehabilitation* / Q000601:surgery; D008875:Middle Aged; D013516:Oral Surgical Procedures, Preprosthetic / Q000379:methods; D011476:Prosthodontics / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D014716:Vertical Dimension