Long-Term Results of Jaw Reconstruction With Microsurgical Fibula Grafts and Dental Implants

Gbara, Ali; Darwich, Khaldoun; Li, Lei; Schmelzle, R.; Blake, Felix

doi:10.1016/j.joms.2006.06.294

Cited by 83 publications

(54 citation statements)

References 14 publications

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“…The fibula is near ideal for the placement of osseointegrated implants. Healing after implant placement is predictable as is the success rate [10]. The fibula exhibits reasonable resistance to peri-implant resorption [11].…”

Section: Case -1mentioning

confidence: 99%

See 1 more Smart Citation

Free fibula flap in the reconstruction of mandible: a report of six cases

Rao

Aditya

Gopinath

et al. 2009

J. Maxillofac. Oral Surg.

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The defects secondary to surgical ablation of the mandible have far reaching consequences. Speech, respiration, mastication, deglutition and cosmesis are severely affected. Restoring these functions is a challenging task. Till the late eighties, myocutaneous flaps were the rule for mandibular reconstruction and free bone was used to restore bony continuity. In spite of the result being predictable the outcome left much to be desired. There was also a fairly regular crop of complications. Acceptable dental rehabilitation was almost non-existent. With the introduction of free flaps as a consequence of the development of the operating microscope, the field of reconstruction was revolutionized. The fibular free flap is especially suited for mandibular reconstruction. It provides adequate bone to re-establish bony continuity and also allows for the placement of osseointegrated implants. Here we present six of our cases, which underwent mandibular reconstruction with free fibula flaps and the current thoughts in literature on the reconstruction of the mandible with this technique.

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Section: Case -1mentioning

confidence: 99%

“…The fibula exhibits reasonable resistance to peri-implant resorption [11]. The bone stock has adequate strength to withstand reasonable forces of mastication [10,11].…”

Section: Case -1mentioning

confidence: 99%

Free fibula flap in the reconstruction of mandible: a report of six cases

Rao

Aditya

Gopinath

et al. 2009

J. Maxillofac. Oral Surg.

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“…[7][8][9][10][11][12][13][14] The primary advantages of this donor site include: available length of bone, associated soft tissues available, near anatomic dimension, ability to accept bicortical implants and relatively low donor site morbidity. The ability to harvest the flap concurrent with the resection procedure optimizes case flow and minimizes length of procedure.…”

Section: Choice Of Vascularized Bone Flaps and Relative Meritsmentioning

confidence: 99%

“…Logistic considerations, especially, the cost and loss of the implants if unfortunately the flap fails, make the choice of primary implantation less attractive. [39][40][41] Despite the ability to receive osseointegrated implants, only a minority of the patients actually makes it through the entire sequence due to expense, recurrence, emergence of distant metastases and the like. This ability cannot represent the main justification for the use of a microvascular bone transfer.…”

Section: Presurgical Vascular Imagingmentioning

confidence: 99%

18 Reconstruction of the Mandible

Werning¹

2007

Oral Cancer: Diagnosis, Management, and Rehabilitation

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Segmental mandibulectomy leads to a great deÞ cit in the form and function of the patient. Vascularised bone ß aps have become the choice of the method of reconstruction of the mandible in an oncologic setting. Fibula osseous or oseteocutaneous ß aps have become the favored method in centers across the world. This article reviews certain pertinent and practical points with regards to Þ bula ß ap reconstruction of the mandible. Methods of osteosynthesis, merits of inclusion of the FHL muscle in the ß ap and use of osteointegrated implants are discussed in detail. The reader will also be able at the end to understand the role of pre operative vascular imaging, steps taken when there is an irreversible ß ap failure and steps to maintain and rehabilitate occlusion as practiced in the author's service. KEY WORDS Fibula ß ap, mandibular reconstructionFree full text on www.ijps.org

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“…The grafts can be easily adjusted to the curvature of the mandible using the osteotomy technique. They are associated with very low postoperative donor site morbidity and facilitate the insertion of dental implants [7][8][9]. Since vascularized grafts behave like an edentulous mandible, osseointegration of dental implants can generally be achieved.…”

Section: Introductionmentioning

confidence: 99%

A free vascularized fibular graft for reconstruction of mandibular bony defect following excision of odontogenic keratocyst

Ibrahim¹,

Hassan²,

Hasan³

et al. 2017

IMC J Med Sci

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We present a case of reconstruction of a bony defect due to the excision of recurrent mandibular odontogenic keratocyst in a 45 years old diabetic male. Free vascularized fibular composite graft was taken from the contra lateral lower leg to reconstruct the defect. A two team approach consisting of plastic and maxillofacial (MF) surgeon was adopted. The functional and aesthetical outcome was satisfactory and bone healing occurred without any major complication.

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Long-Term Results of Jaw Reconstruction With Microsurgical Fibula Grafts and Dental Implants

Cited by 83 publications

References 14 publications

Free fibula flap in the reconstruction of mandible: a report of six cases

Free fibula flap in the reconstruction of mandible: a report of six cases

18 Reconstruction of the Mandible

A free vascularized fibular graft for reconstruction of mandibular bony defect following excision of odontogenic keratocyst

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