Intraosseous stability of dental implants in free revascularized fibula and iliac crest bone flaps

Möhlhenrich, Stephan Christian; Kniha, Kristian; Elvers, Dirk; Ayoub, N.; Goloborodko, Evgeny; Hölzle, Frank; Modabber, Ali

doi:10.1016/j.jcms.2016.09.011

Cited by 31 publications

(11 citation statements)

References 31 publications

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“…It is well established that maintenance of healthy peri-implant soft tissue is essential for preservation of marginal bone stability, and this is even more critical in implant-inserted reconstructed bone [ 19 ]. Some characteristics of the extraoral skin flap also cause poor hygiene around implants, resulting in a high risk of chronic inflammation followed by peri-implantitis and MBL (Fig.…”

Section: Discussionmentioning

confidence: 99%

Implant-supported fixed and removable prostheses in the fibular mandible

Nguyen

Myoung

et al. 2020

Int J Implant Dent

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Background: To restore the health-related quality of life (HRQoL) of patients who underwent jaw resection and reconstruction surgery, dental rehabilitation is an essential procedure and also one of the most challenging for oral and maxillofacial surgeons. Even though recent studies have reported the possibility and reliability of dental implant rehabilitation with the fibula free flap (FFF), clinical reports of long-term follow-up cases are scarce. We herein reported seven cases of FFF reconstruction and implant rehabilitation. We also discussed implant planning strategy and surgical techniques. Methods: From 2012 to 2019, seven patients were treated with FFF reconstructive jaw surgery combined with dental implant installation and fabrication of implant-supported prostheses at

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Section: Discussionmentioning

confidence: 99%

Implant-supported fixed and removable prostheses in the fibular mandible

Nguyen

Myoung

et al. 2020

Int J Implant Dent

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“…To be noted, the cases of extremity defects complicated with the closure of deep space were included in our current study, and alternative surgical methods should be combined for those with structural tissue defects. If structural tendon, nerve and bone tissue defects were observed at the recipient site, the reconstruction of these tissues should be performed using techniques such as free revascularized fibula and iliac crest bone flaps 24 or Ilizarov technique 25 , Mesquelet technique 26 etc.. Postoperative clinical efficacy and limb function of these methods were not be described here.…”

Section: Resultsmentioning

confidence: 99%

A neglected problem in the utilization of free anterolateral thigh flap towards reconstructing complicated wounds of extremities: the obliteration of deep dead space

Ren

Dai

et al. 2020

Preprint

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Objective To investigate the clinical application of chimeric anterolateral thigh perforator flap in the treatment of complex wounds complicated with deep dead space of the extremities. Methods From January 2014 to December 2018, 56 cases (38 males and 18 females) with wounds complicated with deep dead space received treatment of chimeric anterolateral thigh perforator flap. The average age was 33.4 years, ranged from 3 to 72 years. Causes of injury: 34 cases of vehicle or motorcycle bruise injuries, 12 cases of falling related injuries, and 10 cases of heavy objects crush injuries. All of these patients were experiencing severe limb injuries accompanied with varying levels of tissue necrosis, tissue infection and deep tissue exposure. Residual deep dead space was observed after debridement, including 41 cases of dead space caused by tendon and muscle exposure, 29 cases formed by bone and joint exposure, as well as 5 cases induced by exposure of internal fixators such as plates. The wound sized were from 8 cm×6 cm to 30 cm×15 cm. Forty-one cases were complicated with the ipsilateral fractures, and 21 cases were complicated with fractures in other bone parts or systematic injuries. Following thorough debridement and treatment with vacuum sealing drainage, the granulation tissues of the wound surface grew well with well-controlled infection, and then we used the chimeric anterolateral thigh perforator flap to obliterate the deep dead space and repair the wounds. The postoperative flap survival and infection condition were evaluated.Results Among 56 patients, 2 cases developed vascular crisis, which was alleviated with timely vascular exploration. One case had excessive bleeding after flap grafting, which was resolved with surgical exploration. Three patients experienced partial necrosis of the flaps, leaving residual local wound, which were completely eliminated by secondary skin grafting in one case and by proactive dressing changes in the other 2 cases. Overall, the infection was effectively controlled, without persistent exudation or sinus tract formation after wound healing. While 5 cases lost to follow-up, the remaining 51 patients were followed up until 15 months, ranged from 9-24 months. Generally, the affected extremities recovered satisfactorily with normal appearances and texture of the flaps, along with normal functions. Importantly, no recurrence of infection was observed.Conclusion During the grafting of chimeric perforator flap pedicled with descending branch of lateral circumflex femoral artery and lateral thigh muscle flap, the muscle flap is recommended to obliterate the deep dead space while the skin flap being used to cover the wound surface. The combination of these two methods performed well in the repair and reconstruction of the complex wounds of the extremities, possessing potential for broader clinical application.

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“…Nachdem die Pseudarthrose in der rekonstruktiven Chirurgie aufgrund der damit verbundenen hohen Morbidität [12] obligat anzusehen [33]. Sowohl für Mandibularekonstruktionen [43,44] als auch für segmentale Oberkieferdefekte [45] ist die Datenlage zu Implantatversorgungen derzeit allerdings noch relativ spärlich.…”

Section: Merke Die Prävention Einer Pseudarthrose Durch Stabile Osteounclassified

Pseudarthrosen im Mund-Kiefer-Gesichts-Bereich

Neff¹,

Jung²

2019

OP-JOURNAL

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ZusammenfassungAuch wenn sie in Standardsituationen heute selten sind, stellen Pseudarthrosen eine relevante Komplikation dar. Insbesondere nach aufwendigen Kieferrekonstruktionen mittels z. B. Fibula- und Beckenkammtransplantaten sind Komplikationen mit hohen Belastungen für die betroffenen Patienten und die erbringende chirurgische Disziplin verbunden. Dieser Beitrag zeigt, wo und warum Pseudarthrosen in der MKG-Chirurgie heute eine Rolle spielen und welche Therapieoptionen bestehen.

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Intraosseous stability of dental implants in free revascularized fibula and iliac crest bone flaps

Cited by 31 publications

References 31 publications

Implant-supported fixed and removable prostheses in the fibular mandible

Implant-supported fixed and removable prostheses in the fibular mandible

A neglected problem in the utilization of free anterolateral thigh flap towards reconstructing complicated wounds of extremities: the obliteration of deep dead space

Pseudarthrosen im Mund-Kiefer-Gesichts-Bereich

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