Revascularized composite grafts with inserted implants for reconstructing the maxilla — improved flap design and flap prefabrication

Kurt, Gökmen; Vinzenz,; Holle, J.; Würinger, Elisabeth; Kulenkampff, K.-J.; Plenk, H.

doi:10.1016/s0266-4356(98)90645-3

Cited by 22 publications

(4 citation statements)

References 21 publications

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“…The prefabrication creates the soft tissue attachment prior to the reconstruction with the free vascularized flap. Vinzenz et al (1998) presented the prefabrication of a free vascularized scapular flap for the reconstruction of the maxilla. Igawa et al (1998) reported the prefabrication of an iliac crest to augment an extended defect of the upper jaw.…”

Section: Discussionmentioning

confidence: 99%

“…Fibula, scapula and iliac crest are the commonly used donor sites for the reconstruction of maxillofacial defects (Bähr 1996; Kazaoka et al 1999; Nakayama et al 1994; Yim & Wei 1994). Recent reports highlighted the prefabrication of free vascularized flaps as a further development in the field of reconstructive surgery (Igawa et al 1998; Vinzenz at al. 1998; Rohner et al 2000a; Rohner et al 2000b).…”

mentioning

confidence: 99%

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Treatment of severe atrophy of the maxilla with the prefabricated free vascularized fibula flap

Rohner

Bucher

Kunz

et al. 2002

Clinical Oral Implants Res

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Treatment of severe maxillary atrophy despite complex major surgery often ends up with an unsatisfactory result. This paper presents the augmentation of the maxilla with a prefabricated free vascularized fibula flap in combination with ITI implants (Straumann AG, Waldenburg, Switzerland) in 4 patients. The technique of prefabrication for the reconstruction of maxillofacial defects is described based on the experience with 17 patients. The key points of this treatment are i) preoperative planning and fabrication of the drilling template; ii) prefabrication of the fibula with ITI implants and performing of a 'vestibuloplasty" using a skin graft; iii) technical construction and fabrication of the suprastructure and the denture; iv) reconstruction of the maxilla using the prefabricated fibula as free vascularized flap. The reconstructions with the fibula flaps were successful and the 18 ITI implants that have been inserted showed good osseointegration without loss of attachment in all 4 patients after a mean observation period of 12 months.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Treatment of severe atrophy of the maxilla with the prefabricated free vascularized fibula flap

Rohner

Bucher

Kunz

et al. 2002

Clinical Oral Implants Res

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“…Vinzenz et al describe implementation of a prelaminated scapular flap using split-thickness skin graft, with prefabricated endosteal implants, in reconstruction of the premaxillary region. 44,45 A composite latissimus dorsi scapular free flap, based on the subscapular system, may be used if extensive soft tissue reconstruction is required. 46,47 However, the scapular flap has two main disadvantages.…”

Section: Free Tissue Transfer For Composite Defectsmentioning

confidence: 99%

Premaxillary Deficiency: Techniques in Augmentation and Reconstruction

Shokri

Wang

Cohn

et al. 2020

Seminars in Plastic Surgery

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Progressive premaxillary retrusion is a common sequela of the facial aging process. In most cases, this manifests with central maxillary recession. Central maxillary insufficiency is also commonly encountered within certain ethnic communities, or in cleft lip nasal deformity, and may represent a challenge for the plastic and reconstructive surgeon attempting correction in the setting of facial contouring, rhinoplasty, or reconstruction following oncologic resection or trauma. Aesthetically, premaxillary retrusion may be coincident with an acute nasolabial angle and ptotic nasal tip. Minor deformities may be addressed with use of either alloplastic implants, autogenous tissue, lipotransfer, or injectable filler. Larger composite defects may require reconstruction with implementation of free tissue transfer. Herein, we describe techniques that aim to augment, or reconstruct, the premaxillary region in the context of nasal deformity, osseous resorption, or composite maxillofacial defects.

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“…From the Department of Surgery, University of California-San Francisco use have resulted in reconstruction of the calvaria, maxilla, esophagus, and penis. [20][21][22][23][24] The aim of this study was to demonstrate the feasibility of creating vascularized bone islands using transplanted BMSCs. Bone marrow stromal cells were harvested from transgenic mice containing a type I␣ (1) collagen-chloramphenicol acetyl transferase (CAT) reporter gene construct.…”

Section: Original Articlementioning

confidence: 99%