Distraction osteogenesis of a fibular revascularized flap for improvement of oral implant positioning in a tumor patient: A case report

Chiapasco, Matteo; Brusati, Roberto; Galioto, Silvestre

doi:10.1053/joms.2000.16632

Cited by 65 publications

(61 citation statements)

References 27 publications

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“…So distraction osteogenesis treatment was selected for both soft and hard tissue elongation. This is an important advantage especially in previously operated and radiotherapytreated patients, because of the poor tissue supply as in our case [5].…”

Section: Discussionmentioning

confidence: 77%

Surgical Rehabilitation of Free Fibula Graft Fracture Under Local Anesthesia with Posteriorly Directed Vertical Alveolar Distractor

et al. 2013

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Reconstruction of the mandible with a free fibular graft is one of the most common treatment choices following tumor resection. But as the graft is often vertically deficient, pathological fracture may occur because of occlusal forces after prosthetic rehabilitation. Distraction osteogenesis can be a good choice for the repair of the fibular flap. In this report, a case of fractured fibula flap after 7 years, rehabilitated with a posteriorly directed vertical distractor, will be presented.

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Section: Discussionmentioning

confidence: 77%

Surgical Rehabilitation of Free Fibula Graft Fracture Under Local Anesthesia with Posteriorly Directed Vertical Alveolar Distractor

et al. 2013

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“…This is especially evident in cases of partial loss of dentate mandibles. The discrepancy between the graft and the intact alveolar bone at the unaffected site does not allow prosthetic rehabilitation with an implantbased denture or a complete implant-borne prosthesis (6)(7)(8)(9)(10)(11)(12). From a functional point of view, the implants need to support very long prosthetic suprastructures to reach the occlusal plane, with the risk of unfavourable bending moments and implant overload, which may jeopardize long-term implant survival.…”

Section: Discussionmentioning

confidence: 99%

“…From a functional point of view, the implants need to support very long prosthetic suprastructures to reach the occlusal plane, with the risk of unfavourable bending moments and implant overload, which may jeopardize long-term implant survival. From an aesthetic point of view, very long crowns may represent unavoidable aesthetic problems (6,7). To overcome this problem, the fibula graft can be fixated at the level of the residual alveolar crest of the healthy side, but facial contour may be adversely affected (6)(7)(8)(9)(10)(11)(12).…”

Section: Discussionmentioning

confidence: 99%

“…This is a particular problem in the dentate mandible, especially when rehabilitation with dental implants is contemplated. Insufficient bone height leads to overloading of osseointegrated implants and jeopardizes the longevity of the prosthetic restoration (6)(7)(8)(9)(10)(11)(12). Distraction osteogenesis is performed in cases of vertical resorption of edentulous jaws to improve bone volume for dental implant placement (alveolar distraction).…”

Section: Introductionmentioning

confidence: 99%

“…Distraction osteogenesis is performed in cases of vertical resorption of edentulous jaws to improve bone volume for dental implant placement (alveolar distraction). This technique provides a very good quality of the neogenerated bone, with adequate characteristics for implant osseointegration (6). This report presents a case of vertical distraction osteogenesis of a free vascularized fibula flap used to reconstruct a hemimandibular bone loss as a result of the surgical resection of an odontogenic myxoma, for improvement of implant prosthetic rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

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Vertical distraction osteogenesis of a free vascularized fibula flap in a reconstructed hemimandible for mandibular reconstruction and optimization of the implant prosthetic rehabilitation. Report of a case

Cho-Lee

Naval-Gías²,

Martos-Díaz³

et al. 2011

Med Oral

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Free vascularized fibular flap is considered the treatment of choice in mandibular reconstruction for extensive bone defects (over 6 centimeters) resulting from trauma, infections or tumor resections. But, when the reconstruction involves a dentate mandible, the fibula has the limit as it does not offer sufficient bone height to restore the alveolar arch up to the occlusal plane. Therefore, the deficiency in bone height makes implant placement impractical. We report a case of vertical distraction osteogenesis of a free vascularized fibula flap used to reconstruct a hemimandible after resection of an odontogenic myxoma, for optimization of the implant prosthetic rehabilitation. The distraction device was applied intraorally. After 10 days of latency period, distraction protocol was performed at a distraction rate of 0.5 mm per day. A consolidation period of 3 months followed. Afterwards the distraction device was removed and 3 osseointegrated dental implants were placed in the distracted area. As a result, the vertical discrepancy between the fibula and the native hemimandible was corrected. The amount of vertical height achieved after distraction was 17 milimeters. The increase of vertical bone height was stable and enabled placement of dental implants without any complications. In conclusion, we consider that vertical distraction osteogenesis of free vascularized flaps is a reliable technique that optimizes implant positioning for ideal prosthetic rehabilitation, after mandibular reconstruction following tumor surgery. Key words: Vertical distraction osteogenesis, free vascularized fibula flap, prosthetic rehabilitation.Cho-Lee GY, Naval-Gías L, Martos-Díaz PL, González-García R, Rodríguez-Campo FJ. Vertical distraction osteogenesis of a free vascularized fibula flap in a recons-tructed hemimandible for mandibular reconstruction and optimization of the implant prosthetic rehabilitation.

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Treatment of Hemi‐Mandibulectomy Defect with Implant‐Supported Telescopic Removable Prosthesis

Ntounis

Patras

Pelekanos

et al. 2016

Journal of Prosthodontics on Complex Restorations

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Distraction osteogenesis of a fibular revascularized flap for improvement of oral implant positioning in a tumor patient: A case report

Cited by 65 publications

References 27 publications

Surgical Rehabilitation of Free Fibula Graft Fracture Under Local Anesthesia with Posteriorly Directed Vertical Alveolar Distractor

Surgical Rehabilitation of Free Fibula Graft Fracture Under Local Anesthesia with Posteriorly Directed Vertical Alveolar Distractor

Vertical distraction osteogenesis of a free vascularized fibula flap in a reconstructed hemimandible for mandibular reconstruction and optimization of the implant prosthetic rehabilitation. Report of a case

Treatment of Hemi‐Mandibulectomy Defect with Implant‐Supported Telescopic Removable Prosthesis

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