Reconstruction of Temporomandibular Joint With a Fibula Free Flap: A Case Report With a Histological Study

Fariña, R; Campos, Pía; Beytía, Javiera; Martı́nez, B.

doi:10.1016/j.joms.2015.08.008

Cited by 7 publications

(4 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, other studies, despite condylar preservation, have found that patients still required surgical revision in the follow-up period. 5,7-9 In our study, among the 155 total patients, 20 patients underwent condylar reconstruction (12.9%), and among the 29 patients who underwent or were awaiting surgical revision, 3 patients (10.3%) had undergone condylar reconstruction. Accordingly, our study did not find a clear association between condylar excision during primary maxillofacial reconstruction and its necessitation of future surgical revision.…”

Section: Discussionmentioning

confidence: 64%

“…Previous studies have reported conflicting findings regarding the growth potential of the free fibular flap in the postoperative period. [3][4][5][6][7][8] Some studies have suggested that appropriate management to preserve the native mandibular condyle at the time of surgery may conserve the growth potential of the mandible. However, even after preservation of the native condyle, neomandibular growth in the pediatric patient is unpredictable.…”

mentioning

confidence: 99%

“…However, even after preservation of the native condyle, neomandibular growth in the pediatric patient is unpredictable. 5,[7][8][9] In similar fashion, the impact of free fibular flap harvest on a growing pediatric patient's donor site has shown contradictory results. Although prior literature has reported minimal donor site morbidity with negligible effect on gait and ankle stability, 10 other studies have detailed undesired outcomes requiring corrective procedures.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Outcomes in Pediatric Maxillofacial Reconstruction With Vascularized Fibular Flaps: A Systematic Review

Cho

Lopez

Teven

et al. 2022

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

Background: The purpose of this study was to examine the complications and outcomes after maxillofacial reconstruction using the free fibular flap in the pediatric population. Methods: A systematic review and descriptive analysis were conducted using data variables, including study characteristics; patient characteristics; postoperative complications (major and minor); surgical revision; and dental rehabilitation. Results: The systematic review resulted in 1622 articles, 55 of which met inclusion criteria for this study. The 55 articles consisted of 17 case series and 38 case reports with level III/IV and level V of evidence, respectively. Of the 155 identified pediatric patients, the rate of major complications was 13.5% and minor complications was 24.5%. The most common complication was mild growth distortion (n = 7) at the recipient site. Complications at the donor site were less common. During follow-up, 29 patients (18.7%) underwent or awaited surgical revision, and 43 patients (27.7%) underwent or awaited dental rehabilitation. Conclusions: Our study suggests that the free fibular flap for pediatric maxillofacial reconstruction is safe and reliable. Additionally, surgical revision to correct the functional impairments resulting from primary reconstruction using the free fibular flap is relatively common.

show abstract

Section: Discussionmentioning

confidence: 64%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Outcomes in Pediatric Maxillofacial Reconstruction With Vascularized Fibular Flaps: A Systematic Review

Cho

Lopez

Teven

et al. 2022

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

show abstract

“…Implants in mandibular reconstruction showed a significantly greater ISQ at second-stage surgery and significantly greater change in the ISQ than implants in healthy mandibles. Fariña et al reported that surviving grafts retained the characteristics of the donor sites, such as the Haversian system 11) . However, as reported by Takahashi et al, healthy mandibular bone has an outer layer of cortical bone with non-uniform trabecular bone resulting from the formation of trabeculae on the inner surface, and the two layers have different properties 12) .…”

Section: Discussionmentioning

confidence: 99%

Investigation of Implant Stability Quotient Values of Dental Implants Placed in Vascularized Bone Grafts

Matsumoto

Mano

Inoue

et al. 2022

J. Hard Tissue Biology.

View full text Add to dashboard Cite

Vascularized autologous bone grafts are widely used for mandibular reconstruction. There have also been numerous reports of occlusal reconstruction by placement of implants in the grafted bone following reconstruction of the mandible. However, the histological structure of the bone used for the graft is different from that of healthy mandibular bone, and the osseointegration process of implants placed in grafted bone is not clear. In this study, implants placed in reconstructions using grafted bone were assessed by measuring the implant stability quotient (ISQ), and their values were compared to those from implants in healthy mandibular bone. The subjects were 5 implants placed in the sites of mandibular reconstructions with vascularized fibula flaps. The controls were 54 implants placed in the molar region of healthy mandibles. All implant placements were carried out by a two-stage procedure, and the ISQs were measured at first-stage surgery and at second-stage surgery. The ISQ values thus obtained and the change in ISQ from first-stage surgery to second-stage surgery were examined statistically. There was no significant difference in the ISQ between the two groups at first-stage surgery, but the values of the ISQ and the change in ISQ were significantly greater in the mandibular reconstruction at second-stage surgery. This appears to be the result of histological differences between the reconstruction site and the healthy bone. The ISQ is an objective index of osseointegration of the implant. The present results suggest that observing changes in ISQ over time allows investigation of the usefulness of different types of bone grafts for implant therapy.

show abstract

Temporomandibular Joint Reconstruction

Mercuri

2021

Management of Obstructive Sleep Apnea

View full text Add to dashboard Cite

Reconstruction of Temporomandibular Joint With a Fibula Free Flap: A Case Report With a Histological Study

Cited by 7 publications

References 15 publications

Outcomes in Pediatric Maxillofacial Reconstruction With Vascularized Fibular Flaps: A Systematic Review

Outcomes in Pediatric Maxillofacial Reconstruction With Vascularized Fibular Flaps: A Systematic Review

Investigation of Implant Stability Quotient Values of Dental Implants Placed in Vascularized Bone Grafts

Temporomandibular Joint Reconstruction

Contact Info

Product

Resources

About