Fibula free flap reconstruction of the mandible in cancer patients: Evaluation of a combined surgical and prosthodontic treatment concept

Smolka, Koord; Kraehenbuehl, Michel; Eggensperger, Nicole; Hallermann, Wock; Thorén, Hanna; Iizuka, Tetsuya; Smolka, Wenko

doi:10.1016/j.oraloncology.2007.07.005

Cited by 144 publications

(107 citation statements)

References 30 publications

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“…4,6,16,19 In our patients, there was no complication from the use of miniplates. Furthermore, miniplates required only limited periosteal elevation in the FFF, allowing minimal vascular damage.…”

Section: The Use Of Miniplatessupporting

confidence: 46%

“…Moreover, this flap offers excellent bicortical bone stock for dental implant placement and a versatile cutaneous unit for soft-tissue reconstruction. 9,[15][16][17][19][20][21][22][23][24] Once dehiscence occurs, the vital periosteum accelerates the re-epithelialisation and healing. 16 The muscle-sparing technique diminishes the donor-site dead space and subsequent haematoma, reduces the risk of the pedicle damage, promotes the skin-island pliability, and preserves the donor limb strength.…”

Section: A Rational Approach For Treating Ameloblastomamentioning

confidence: 99%

“…[4][5][6]15,19,20 However, only 2 patients in this series received this treatment due to a lack of the reimbursement of dental implant therapy in France. of the big toe.…”

Section: A C C E P T E D Article In Pressmentioning

confidence: 99%

“…19,22,28 The early recognition and timely management of flap complications is necessary because of a narrow window of opportunity to salvage potential flap failure. 14 A large series by Bui et al 14 revealed many factors involving venous thrombosis following MHNR, including the use of a vein graft, kinking or compressing of the veins with tight skin closure, neck motion, and end-to-end venous anastomoses.…”

Section: Compromised Vascularity and Free Flap Failurementioning

confidence: 99%

“…30 Finally, donor-site morbidities which include pain, muscle weakness, knee and ankle instability and foot numbness are possible, but rare. 4,5,16,19,20,29 …”

Section: Disadvantagesmentioning

confidence: 99%

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A treatment algorithm for managing giant mandibular ameloblastoma: 5-year experiences in a Paris university hospital

Chaine¹,

Pitak‐Arnnop²,

Dhanuthai³

et al. 2009

European Journal of Surgical Oncology (EJSO)

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This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. FINDINGS:Forty-four ameloblastoma patients were operated during this study period. Sixteen cases had GMA, of which 9 patients were included in this series (mean age: 35 years). The defects in the mandible ranged from 7 to 16 cm in length (mean: 12 cm). The average length of the harvested fibula was 11 cm, and the number of osteotomies ranged from 1 to 2. The mean ischemic time was 137 minutes (range: 90-180 minutes).Neck recipient vessels were used for flap perfusion in all cases. All but one flaps were viable without any complications, whilst partial skin-island necrosis occurred in 2 patients. Hospital stay was 2 weeks in most of the patients. No tumour recurrence was found during the follow-up period (range: 26-73 months). Dental implants were placed in 2 patients. CONCLUSIONS:Despite several limitations of this study, we suggest that a radical approach with the SM-IFFOFR is an effective treatment for GMA. Further well-designed, larger series with longer follow-up periods are still encouraged.

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Section: The Use Of Miniplatessupporting

confidence: 46%

Section: A Rational Approach For Treating Ameloblastomamentioning

confidence: 99%

“…[4][5][6]15,19,20 However, only 2 patients in this series received this treatment due to a lack of the reimbursement of dental implant therapy in France. of the big toe.…”

Section: A C C E P T E D Article In Pressmentioning

confidence: 99%

Section: Compromised Vascularity and Free Flap Failurementioning

confidence: 99%

“…30 Finally, donor-site morbidities which include pain, muscle weakness, knee and ankle instability and foot numbness are possible, but rare. 4,5,16,19,20,29 …”

Section: Disadvantagesmentioning

confidence: 99%

See 3 more Smart Citations

A treatment algorithm for managing giant mandibular ameloblastoma: 5-year experiences in a Paris university hospital

Chaine¹,

Pitak‐Arnnop²,

Dhanuthai³

et al. 2009

European Journal of Surgical Oncology (EJSO)

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Computer-Assisted Implant Rehabilitation of Maxillomandibular Defects Reconstructed With Vascularized Bone Free Flaps

Okay¹,

Buchbinder²,

Urken³

et al. 2013

JAMA Otolaryngol Head Neck Surg

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Computer-assisted implant rehabilitation of reconstructed defects can achieve superior results to provide FDP and IL provisional restorations. This prosthodontic-driven approach also uses unique framework design to account for mandible height discrepancy after fibula free flap reconstruction. Patient management for FDP rehabilitation is also dependent on radiation status, soft-tissue modification, and patient selection.

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Updated Clinical Considerations for Dental Implant Therapy in Irradiated Head and Neck Cancer Patients

Tanaka

Chan

Tindle

et al. 2015

Journal of Prosthodontics on Dental Implants

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Fibula free flap reconstruction of the mandible in cancer patients: Evaluation of a combined surgical and prosthodontic treatment concept

Cited by 144 publications

References 30 publications

A treatment algorithm for managing giant mandibular ameloblastoma: 5-year experiences in a Paris university hospital

A treatment algorithm for managing giant mandibular ameloblastoma: 5-year experiences in a Paris university hospital

Computer-Assisted Implant Rehabilitation of Maxillomandibular Defects Reconstructed With Vascularized Bone Free Flaps

Updated Clinical Considerations for Dental Implant Therapy in Irradiated Head and Neck Cancer Patients

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