title: Maxillary functional reconstruction using a reverse facial artery-submental artery mandibular osteomuscular flap with dental implants.
abstract: OBJECTIVE
  This clinical study assessed the reverse facial artery-submental artery mandibular osteomuscular flap with titanium dental implants for the functional reconstruction of maxillary defects.
  
  
  METHODS
  Class 2a defects in 5 patients were repaired with a reverse facial artery-submental artery mandibular osteomuscular flap with titanium dental implants (n = 21). All patients received a fixed partial denture after a 3- to 6-month healing period.
  
  
  RESULTS
  All lesions were widely excised in an area extending to the maxilla. Of the implants, 20 (95.2%) were loaded and 1 was lost before loading. Reconstruction with a fixed partial denture was successful in all patients. The patients were followed up for 12 to 20 months (mean, 15.8 months), and no recurrence was observed.
  
  
  CONCLUSIONS
  The reverse facial artery-submental artery mandibular osteomuscular flap with titanium dental implants is safe, quick, and simple to elevate and is reliable for the functional reconstruction of maxillary defects.
authors: Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. drchen@vip.163.com
authors: Wei-liang
authors: WL
authors: Chen
authors: Miao
authors: M
authors: Zhou
authors: Jian-tao
authors: JT
authors: Ye
authors: Zhao-hui
authors: ZH
authors: Yang
authors: Da-ming
authors: DM
authors: Zhang
mesh_terms: D000328:Adult; D000564:Ameloblastoma / Q000601:surgery; D016025:Bone Transplantation / Q000379:methods*; D002804:Chondroblastoma / Q000601:surgery; D003758:Dental Implantation, Endosseous / Q000379:methods; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D003830:Denture, Partial, Fixed; D005145:Face / Q000098:blood supply; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery; D008437:Maxilla / Q000601:surgery*; D008441:Maxillary Neoplasms / Q000601:surgery*; D018482:Muscle, Skeletal / Q000637:transplantation*; D009333:Neck / Q000098:blood supply; D009808:Odontogenic Tumors / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply; D020858:Tissue and Organ Harvesting / Q000379:methods; D055815:Young Adult
chemical_list: D015921:Dental Implants