Dental Implant Outcome after Primary Implantation into Double-Barreled Fibula Osteoseptocutaneous Free Flap–Reconstructed Mandible

Chang, Yang‐Ming; Wallace, Christopher Glenn; Tsai, Chi-Ying; Shen, Yuh Chiang; Hsu, Yueh-Min; Wei, Fu‐Chan

doi:10.1097/prs.0b013e318230c6a9

Cited by 64 publications

(63 citation statements)

References 15 publications

(16 reference statements)

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“…In contrast, the traditional approach as described in the literature 21,[29][30][31] starts with preplating as described by Marchetti et al, 32 and then reconstruction plate fixation after mandibular resection is complete. The selection of the recipient vessels and pedicle reach are addressed next.…”

Section: Is It Computer-aided Surgery or The Free-hand Technique Thatmentioning

confidence: 99%

Computer-Assisted Surgery for Segmental Mandibular Reconstruction with the Osteoseptocutaneous Fibula Flap

Deek

Wei

2016

Plastic and Reconstructive Surgery

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Virtual surgical planning and computer-aided design and computer-aided modeling are promising technologies with a growing trend in contemporary head and neck reconstruction. Segmental mandibular reconstruction with the osteoseptocutaneous fibula flap is one of the fields in which these technologies are increasingly used. Perceived benefits are increased surgical precision, improved operative efficiency, and overall good outcomes. Nevertheless, these programs do not cover the reconstruction picture of interest thoroughly, at least in the mind of the experienced surgeon. Based on extensive experience in segmental mandibular reconstruction and comprehensive literature review, the authors attempted to identify missing dots in computer-aided mandibular reconstruction; when possible, a problem-solution approach was taken. Of these dots, pedicle reach to the recipient vessels, multiple target soft-tissue reconstruction, anatomical variations and cross-section topography of the osteoseptocutaneous fibula flap, and intraoperative modification of the surgical plan were understated or not considered in the phases of virtual surgical planning and execution. Moreover, with the relatively small experience reported in computer-aided segmental mandibular reconstruction compared with the well-appreciated challenges, further discussion of what could be a realistic and safe indication was deemed necessary. Following in the footsteps of the iPhone developer of creating software satisfying to customers (i.e., surgeons) first and armed with the evidence from the literature and accumulation of experience, this Special Topic article aims to provoke a discussion among experts in this field to instigate ideological and technological reforms in computer-aided mandibular reconstruction.

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Section: Is It Computer-aided Surgery or The Free-hand Technique Thatmentioning

confidence: 99%

Computer-Assisted Surgery for Segmental Mandibular Reconstruction with the Osteoseptocutaneous Fibula Flap

Deek

Wei

2016

Plastic and Reconstructive Surgery

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“…Options to improve the vertical height both for the future use of osseointegrated implants and to decrease an intraoral step-off include using a double-barrel technique (by creating a midpoint osteotomy and folding the bone on itself), adding nonvascularized bony onlay grafts to the superior fibula edge, or even performing secondary vertical distraction osteogenesis. 8,9,[21][22][23] As research continues into the creation and use of scaffolds, engineered growth factors, and bone morphogenetic proteins, new options for increasing neomandibular height and/or eliminating the need for a donor site may develop in the future. Currently, however, the need for a donor site remains and the fibula donor site has been found to have the lowest donor site morbidity.…”

Section: Fowler and Futranmentioning

confidence: 99%

Utilization of Free Tissue Transfer for Pediatric Oromandibular Reconstruction

Fowler

Futran

2014

Facial Plastic Surgery Clinics of North America

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“…This flap can be used to span an angle-to-angle defect. The bone is also of adequate width and height to allow for placement of osseointegrated dental implants [6,7]. …”

Section: Introductionmentioning

confidence: 99%

Assessment of quality of life in giant ameloblastoma adolescent patients who have had mandible defects reconstructed with a free fibula flap

Zhu

Liu

et al. 2014

World J Surg Onc

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BackgroundThe reconstruction of mandibular defects after giant ameloblastoma resection is one of the most challenging problems facing reconstructive surgeons. Mandibular resection has been associated with a poor quality of life (QOL), particularly in adolescent patients reconstructed with a free fibula flap. This study aims to evaluate QOL outcomes in adolescent patients who have had mandibular resections of giant ameloblastoma and reconstruction with a free fibula flap and to collect information about their socio-cultural situation.MethodsThe present study assessed 45 adolescent patients who had undergone immediate mandible reconstruction with a free fibula flap for faint ameloblastoma using University of Washington Quality of Life (UW-QOL) and 14-item Oral Health Impact Profile (OHIP-14) questionnaires.ResultsThirty-five of the 54 questionnaires were returned (64.81%). In the UW-QOL, of the twelve disease-specific domains, the best three scores from the patients related to pain, shoulder and appearance and the worst three scores related to chewing, anxiety and saliva. In the OHIP-14, the lowest-scoring domain was handicap, followed by physical pain and social disability.ConclusionsMandibular reconstruction with a free fibular flap significantly influenced the adolescent patients’ QOL. Adolescent patients pay more attention to postoperative facial appearance; this should be considered in surgical planning.

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Dental Implant Outcome after Primary Implantation into Double-Barreled Fibula Osteoseptocutaneous Free Flap–Reconstructed Mandible

Abstract: Therapeutic, V.

Cited by 64 publications

References 15 publications

Computer-Assisted Surgery for Segmental Mandibular Reconstruction with the Osteoseptocutaneous Fibula Flap

Computer-Assisted Surgery for Segmental Mandibular Reconstruction with the Osteoseptocutaneous Fibula Flap

Utilization of Free Tissue Transfer for Pediatric Oromandibular Reconstruction

Assessment of quality of life in giant ameloblastoma adolescent patients who have had mandible defects reconstructed with a free fibula flap

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