title: Osseointegrated implants into a variety of composite free flaps: A comparative analysis.
abstract: Significant oral function is often lost after surgical therapy for head and neck cancer. The use of osseointegrated implants for reconstruction in patients with head and neck surgery has shown to significantly improve the quality of life for these patients. Variable success rates range from 99% to 70%.
  
  
  
  A retrospective audit of patient records was performed looking at cumulative survival of implants. Inclusion criteria were patients who were treated at 1 of 2 designated Australian Head and Neck Units and received oral osseointegrated implants.
  
  
  
  Fifty-nine patients were included for analysis. One hundred ninety-nine implants were placed into vascularized bone grafts (VBGs). There were 11 implant failures with an overall success rate of 94.5%. There was 1 significant adverse outcome with a pathological fracture of a flap after implant placement. Implant success in scapula and iliac crest flaps was comparable to fibula flaps.
  
  
  
  Implants placed into VBGs have a reasonable success rate in well-selected patients. © 2016 Wiley Periodicals, Inc. Head Neck 39: 443-447, 2017.
authors.affiliation: Department of Maxillofacial Surgery, Royal Brisbane Hospital, Brisbane, Queensland, Australia.
authors.forename: Michael
authors.initials: M
authors.lastname: Burgess
authors.affiliation: University of Sydney Medical School, New South Wales, Australia.
authors.forename: Matthew
authors.initials: M
authors.lastname: Leung
authors.affiliation: Toowoomba/Ipswich Hospitals, Queensland, Australia.
authors.forename: Anthony
authors.initials: A
authors.lastname: Chellapah
authors.affiliation: The Sydney Head and Neck Cancer Institute, Chris O'Brien Lifehouse, Sydney, New South Wales, Australia.|Central Clinical School, University of Sydney, Sydney, New South Wales, Australia.|South Western Clinical School, University of New South Wales, Sydney, New South Wales, Australia.
authors.forename: Jonathan R
authors.initials: JR
authors.lastname: Clark
authors.affiliation: Department of Maxillofacial Surgery, Royal Brisbane Hospital, Brisbane, Queensland, Australia.
authors.forename: Martin D
authors.initials: MD
authors.lastname: Batstone
mesh_terms: D000328:Adult; D000368:Aged; D001315:Australia; D016025:Bone Transplantation / Q000009:adverse effects / Q000379:methods*; D015331:Cohort Studies; D005260:Female; D058752:Free Tissue Flaps / Q000098:blood supply* / Q000637:transplantation*; D006084:Graft Rejection; D006085:Graft Survival; D006258:Head and Neck Neoplasms / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008339:Mandibular Neoplasms / Q000473:pathology / Q000601:surgery; D008441:Maxillary Neoplasms / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D016348:Osseointegration / Q000502:physiology; D019736:Prostheses and Implants; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D055815:Young Adult
keywords: dental implantation; endosseous/methods; fibula/transplantation; free tissue flaps; iliac crest; scapula