| Title | Enhancement of the fibula free flap by alveolar distraction for dental implant restoration: report of a case. | | Author(s) | Levin L, Carrasco L, Kazemi A, Chalian A | | Institution | University of Pennsylvania Hospital, Department of Oral and Maxillofacial Surgery, Philadelphia 19104, USA. | | Source | Facial Plast Surg 2003 Feb; 19(1):87-94. | | MeSH | Adolescent
Alveolar Ridge Augmentation
Bone Plates
Bone Transplantation
Dental Implantation, Endosseous
Fibroma, Desmoplastic
Fibula
Humans
Male
Mandible
Mandibular Neoplasms
Mandibular Prosthesis
Osteogenesis, Distraction
Surgical Flaps
| | Abstract | We describe the utilization of distraction osteogenesis in the free fibular microvascular bone graft to the mandible for increasing bone height for future osseointegrated dental implants. Successful reconstruction of a resected mandible requires restoration of both function and esthetic form. Although current reconstructive techniques restore anterior-posterior and lateral projection, often the graft's vertical height is not sufficient for the placement of osseointegrated dental implants and subsequent oral prosthesis. The patient was a sixteen-year-old male who was found to have a large desmoplastic fibroma of the left mandible, which was resected. The defect was successfully restored with a free fibular microvascular bone graft and reconstruction plate. Nevertheless, the patient had persistent problems with mastication and it was decided to perform a segmental osteotomy of the neomandible. Two internal vertical distraction devices were then placed in the mandible. The appliances were then activated five days postoperative, twice a day, for a total of 14 days. At that time 1.5 cm of distraction had occurred and the patient was placed in a consolidation phase for four months. The patient then had sufficient bone height and was restored with 8 osseointegrated dental implants. | | Language | eng | | Pub Type(s) | Case Reports
Journal Article
| | PubMed ID | 12739184 |
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