| Title | Mandibular reconstruction with fibular osteoseptocutaneous free flap and simultaneous placement of osseointegrated dental implants. | | Author(s) | Wei FC, Santamaria E, Chang YM, Chen HC | | Institution | Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital and Medical College, Taipei, Taiwan, ROC. | | Source | J Craniofac Surg 1997 Nov; 8(6):512-21. | | MeSH | Dental Implantation, Endosseous
Dental Prosthesis
Fibula
Humans
Mandibular Neoplasms
Osseointegration
Patient Selection
Reconstructive Surgical Procedures
Surgical Flaps
Treatment Outcome
| | Abstract | Insertion of osseointegrated dental implants several months after mandibular reconstruction using vascularized composite bone grafts has proved to be a successful method to achieve mastication and complete oral rehabilitation. Theoretically with primary placement of implants into the new mandible a better access to the bone is achieved, interdental relationships are easier to determine, and oral rehabilitation can be attained in a shorter period of time. Previous results describing this approach, however, are inconclusive and controversial. This review describes our experience with primary insertion of dental implants into fibular flaps used for mandibular reconstruction during ablative surgery. Adequate selection of patients for this combined procedure depends mainly on the pathological nature of the mandible and perioperative radiotherapy. Preoperative determination of soft-tissue and bone requirements, number of osteotomies, rigid fixation method, and familiarity with the use of osseointegrated implants are important factors that must be considered for adequate surgical planning and to achieve good results. | | Language | eng | | Pub Type(s) | Journal Article
Review
| | PubMed ID | 9477839 |
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