title: Osteoperiosteal free fibula flap as an effective preprosthetic reconstructive option in severe jaw atrophy and oncological resection.
abstract: The gold standard in modern surgical treatment of patients with severe maxillo-mandibular atrophy must include the aim to achieve restoration of function and aesthetics with immediate reconstruction of the oro-mandibular defects. The medical records of 14 patients who were treated in a 5-year period (2010-2014) at our department with severe maxillary and mandibular atrophy, and reconstructed by vascularised free fibula flap were reviewed. Among the former, a total of 14 patients underwent maxillary and mandibular reconstruction using the osteoperiosteal fibula free flap. No major complications were reported. The main advantage of this technique is that it allows the formation of keratinised gengiva, which provides the best implantological options. The only disadvantage of the technique is that the wounds have to heal for second intention, and for this reason patients have to undergo strict follow-up for the first months after the operation. The aim of this article is to evaluate the efficiency of the technique in bone reconstruction after jaw resection or severe atrophy.
authors.affiliation: Maxillo-Facial Surgery Unit, Complesso Integrato Columbus, Università Cattolica del Sacro Cuore, Rome, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Saponaro
authors.affiliation: Maxillo-Facial Surgery Unit, Complesso Integrato Columbus, Università Cattolica del Sacro Cuore, Rome, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Gasparini
authors.affiliation: Maxillo-Facial Surgery Unit, Complesso Integrato Columbus, Università Cattolica del Sacro Cuore, Rome, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Cervelli
authors.affiliation: Maxillo-Facial Surgery Unit, Complesso Integrato Columbus, Università Cattolica del Sacro Cuore, Rome, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Dall'Asta
authors.affiliation: Maxillo-Facial Surgery Unit, Complesso Integrato Columbus, Università Cattolica del Sacro Cuore, Rome, Italy.
authors.forename: G
authors.initials: G
authors.lastname: D'Amato
authors.affiliation: Maxillo-Facial Surgery Unit, Complesso Integrato Columbus, Università Cattolica del Sacro Cuore, Rome, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Forcione
authors.affiliation: Maxillo-Facial Surgery Unit, Complesso Integrato Columbus, Università Cattolica del Sacro Cuore, Rome, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Pelo
authors.affiliation: Maxillo-Facial Surgery Unit, Complesso Integrato Columbus, Università Cattolica del Sacro Cuore, Rome, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Moro
mesh_terms: D001284:Atrophy; D016025:Bone Transplantation; D005360:Fibula; D058752:Free Tissue Flaps; D006085:Graft Survival; D006801:Humans; D007568:Jaw / Q000473:pathology; D056948:Orthognathic Surgical Procedures; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D013524:Surgical Flaps
keywords: Fibula free flap; Head and neck tumours; Jaw atrophy; Jaws rehabilitation; Oncological reconstruction