Oromandibular Reconstruction With the Fibular Free Flap: Analysis of 50 Consecutive Flaps

Osseous Changes Over Time in Free Fibular Flap Reconstruction

“…In contrast to the significant bone resorption of onlay bone grafts and native edentulous mandible, our study indicates that fibular grafts provided stability with respect to bone height, width, and cortical thickness. Our study not only confirms retention of fibular graft height, corresponding to prior observations, but indicates that edentulous bone displays much higher rates of atrophy when compared to dentulous mandible. Our data indicate that dentition is a significant prognostic factor in maintaining bone stock and reducing overall atrophy in the native mandible.…”

Mandibular osteoradionecrosis: reconstructive surgery

“…However, once the success of restoring mandibular bone continuity is achieved, the patient will demand further oral rehabilitation with implant‐retained prosthesis or bridges. Although we have successfully placed osseointegrated dental implants into all type of bone grafts used in this study, we now appreciate the versatility of the fibular bone graft, as also concluded in other reports 3,4 , 20 …”

Oral rehabilitation after mandibular reconstruction using an osteocutaneous fibula free flap with endosseous implants

“…Using the systematic concept of combined surgical and prosthodontic treatments presented here, it was possible to perform dental prosthetic rehabilitation in patients with extensive bony and soft‐tissue defects as well. This is probably the reason why the percentage of patients with functioning dentures in our series (21%) was higher than those of other reports, which ranged between 0% and 12% (Komisar 1990; Shpitzer et al 1997; Gürlek et al 1998). However, at the same time, our study showed that dental prosthetic rehabilitation does not always positively influence oral function.…”