title: Masticatory Rehabilitation of a Patient With Cleft Lip and Palate Malformation Using a Maxillary Full-Arch Reconstruction With a Prefabricated Fibula Flap.
abstract: For full-arch reconstruction of an atrophied cleft maxilla with missing premaxilla, a prefabricated microvascular free bony flap is a relevant option. A fibula flap was prefabricated in a cleft patient who received six dental implants and an epithelial layer. Six weeks later, maxillary reconstruction was performed. The inpatient period could be confined to 2 weeks. A fixed provisional prosthesis was delivered after an additional 2 weeks. A prefabricated flap allows for the reduction of the interval without a dental prosthesis to only a few weeks, even when a complex full-arch reconstruction of the maxilla is required.
authors.forename: Emeka
authors.initials: E
authors.lastname: Nkenke
authors.forename: Elefterios
authors.initials: E
authors.lastname: Vairaktaris
authors.forename: Tilo
authors.initials: T
authors.lastname: Schlittenbauer
authors.forename: Stephan
authors.initials: S
authors.lastname: Eitner
mesh_terms: D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D015921:Dental Implants; D005360:Fibula / Q000637:transplantation*; D006801:Humans; D008297:Male; D008409:Mastication; D008437:Maxilla; D008875:Middle Aged; D010159:Palate; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps / Q000637:transplantation
chemical_list: D015921:Dental Implants
keywords: dental implant; fibula flap; prefabrication; prelamination; vascularized free flap