The free iliac crest and fibula flaps in vascularized oromandibular reconstruction: Comparison and long-term evaluation

Shpitzer, Thomas; Neligan, Peter C.; Gullane, Patrick; Boyd, Brian; Gur, Eyal; Rotstein, Lorne; Brown, Dale; Irish, Jonathan C.; Freeman, John F.

doi:10.1002/(sici)1097-0347(199910)21:7<639::aid-hed8>3.0.co;2-t

Cited by 133 publications

(62 citation statements)

References 21 publications

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“…Some authors reported that using iliac bone for reconstruction of mandibular defects caused higher morbidity when it is compared to the free fibular flap [24]. However, in this work, there were no significant differences between the different surgical procedures used in mandibular reconstruction as regards to morbidities which all were minor problems.…”

Section: Discussionmentioning

confidence: 51%

Versatility in Mandibular Reconstruction after Ablative Tumor Surgery, Single Center Experience

Hafez¹

2016

Arch Otolaryngol Rhinold

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Section: Discussionmentioning

confidence: 51%

Versatility in Mandibular Reconstruction after Ablative Tumor Surgery, Single Center Experience

Hafez¹

2016

Arch Otolaryngol Rhinold

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“…Different types of reconstructive procedures are required due to site, dimension, and the type of the defect. 17,18 Autologous bone substitutes are the first choice with the osteoinductive, osteoconductive and nonimmunogenic properties and also with financial advantages.…”

Section: Discussionmentioning

confidence: 99%

Büyük Boyutlu Odontojenik Fibromanin Anterior İliak Kret ve İmplant Destekli Sabit Protez ile Tedavisi: Olgu Sunumu

Soylu¹,

Kılıç²,

Zortuk³

et al. 2017

Cumhuriyet Dental Journal

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Purpose: Odontogenic fibroma (OF) is a rare benign odontogenic neoplasm and classified as central (COF) and peripheral (POF) type and COF has two sub groups; epithelium-poor (simple) type and epithelium-rich (WHO or complex) type. Treatment modality of OF is surgical excision. However, after large-scaled excision, reconstruction of the defect may be required. Case Report: 39 years old male patient referred with complain of a painless swelling in anterior maxilla. Incisional biopsy showed that the lesion is simple type OF. Under general anesthesia, lesion enucleated and defect reconstructed with anterior iliac graft. After 8 months, 3 dental implants were placed and final reconstruction was done with implant supported fixed prosthesis. Discussion: OF is a benign and very rare odontogenic neoplasm accounting for 0.5 -5% of odontogenic tumors. Treatment modality of OF is enucleation and curettage, but after enucleation of huge OF, reconstruction may be challenging by the size of the defect. Anterior iliac graft is a gold standard among all autologous bone graft sources and it also provides adequate bone for the reconstruction of the maxillofacial defects, otherwise it is possible to place implants with acceptable resorption rates. Conclusion: Reconstruction of the jaw defects with anterior iliac graft and implant supported fixed prosthesis after enucleation of huge size tumors such as COF, is a feasible method.

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“…The slightly elevated donor-site morbidity (e.g., abdominal hernia) associated with the iliac crest flap has resulted in it becoming less popular. However, it remains a feasible second-line option for structural reconstruction of the mandible , because the esthetic and functional results of the iliac crest flap may be indistinguishable from those of the free vascularized fibula flap (Shpitzer et al, 1999).…”

Section: Review Of Vascularized Osseous Flaps ⅰ) Iliac Crest Flapmentioning

confidence: 99%

Mandibular Reconstruction with Vascularized Osseous Free Flaps: a Review of the Literature

Kim

Nam

et al. 2012

Asian Pacific Journal of Cancer Prevention

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Purpose: This article reviews a few of the commonly used types of vascularized osseous free flaps in maxillofacial reconstruction, which still represents the gold standard of restoration. We also discuss the developing concepts in maxillofacial reconstruction. Recent findings: Most of the literature reconfirms the established patterns of reconstruction with the aid of vascularized osseous free flaps. This method of freetissue transfer is also feasible in cases of osteoradionecrosis or bisphosphonate-related osteonecrosis of the jaw. These flaps are also suitable for prosthetic restoration using osseointegrated dental implants. Summary: Vascularized osseous free flaps still remain the standard of care. Improvements upon the free-tissue transfer method employing vascularized osseous free flaps, such as distraction osteogenesis, tissue engineering, and imaging techniques, currently require further development, but these technologies could lead to improved outcomes of maxillofacial reconstruction in the near future.

show abstract

The free iliac crest and fibula flaps in vascularized oromandibular reconstruction: Comparison and long-term evaluation

Cited by 133 publications

References 21 publications

Versatility in Mandibular Reconstruction after Ablative Tumor Surgery, Single Center Experience

Versatility in Mandibular Reconstruction after Ablative Tumor Surgery, Single Center Experience

Büyük Boyutlu Odontojenik Fibromanin Anterior İliak Kret ve İmplant Destekli Sabit Protez ile Tedavisi: Olgu Sunumu

Mandibular Reconstruction with Vascularized Osseous Free Flaps: a Review of the Literature

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