title: Dental implant distractor combined with free fibular flap: a new design for simultaneous functional mandibular reconstruction.
abstract: OBJECTIVE
  The purpose of the present study was to present a new method that combines the use of the fibular flap and a custom-made vertical distractor/dental implant device into 1 surgical procedure for simultaneous functional mandibular reconstruction.
  
  
  METHODS
  The present retrospective case series included 10 patients who were treated using the fibular flap and dental implant distractor (DID) in a single-stage procedure. These 10 patients were treated within a 3-year period (from 2005 to 2007).
  
  
  RESULTS
  Of the 10 patients included in the study, 5 were males and 5 were females. The mean age of the sample was 33.8 years (range 17 to 48). The cumulative survival rate of the fibular flaps was 100%. The mean vertical bone height attained with the DID device was 11.4 mm. The mean period from the first operation to the start of dental implant loading was 6.3 months. The cumulative survival rate of the dental implants was 93.75%.
  
  
  CONCLUSIONS
  The use of the DID in the fibular flap for mandibular reconstruction is advantageous because it combines vertical distraction osteogenesis of the fibular flap and dental implantation into a single procedure. Implants placed in the reconstructed areas were found to integrate normally, with survival rates comparable to those with 2-stage operations. As such, this novel DID technique can be used for single-stage reconstruction and rehabilitation of segmental mandibular defects in selected patients.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomotology, Shanghai, People's Republic of China. zhangchenping@hotmail.com
authors.forename: Zhang
authors.initials: Z
authors.lastname: Chenping
authors.forename: Ruan
authors.initials: R
authors.lastname: Min
authors.forename: Xu
authors.initials: X
authors.lastname: Liqun
authors.forename: Hu
authors.initials: H
authors.lastname: Yongjie
authors.forename: Yang
authors.initials: Y
authors.lastname: Wenjun
authors.forename: Ji
authors.initials: J
authors.lastname: Tong
authors.forename: Qv
authors.initials: Q
authors.lastname: Xingzhou
authors.forename: Li
authors.initials: L
authors.lastname: Siyi
authors.forename: Andrew
authors.initials: A
authors.lastname: Ow
authors.forename: Ma
authors.initials: M
authors.lastname: Jizhuang
authors.forename: Wu
authors.initials: W
authors.lastname: Yiqun
mesh_terms: D000293:Adolescent; D000328:Adult; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D005260:Female; D058752:Free Tissue Flaps; D006801:Humans; D016268:Internal Fixators; D007902:Length of Stay; D008297:Male; D008339:Mandibular Neoplasms / Q000534:rehabilitation; D063175:Mandibular Reconstruction / Q000379:methods*; D008875:Middle Aged; D061646:Operative Time; D019857:Osteogenesis, Distraction / Q000295:instrumentation*; D012189:Retrospective Studies; D055815:Young Adult
chemical_list: D015921:Dental Implants