Vascularized Bone Flaps in Oromandibular Reconstruction: A Comparative Anatomic Study of Bone Stock From Various Donor Sites to Assess Suitability for Enosseous Dental Implants

Moscoso, Juan F.; Keller, Jeffrey; Genden, Eric M.; Weinberg, Hubert; Biller, Hugh F.; Buchbinder, Daniel; Urken, Mark L.

doi:10.1001/archotol.1994.01880250032004

Cited by 180 publications

(93 citation statements)

References 18 publications

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“…The fibula has a biomechanical advantage in that it can favorably withstand masticatory loads. 11,13,17,19,23,24 The morbidity in relation with the donor site was acceptable with limited pain and gait disturbances. Reconstruction of surgical jaw defects with fibula free flaps is not without problems.…”

Section: Discussionmentioning

confidence: 96%

“…The survival rate of fibula flaps in this case series was 100% which was higher than those results reported by other authors. [1][2][3]10,11,13,15,17,30 We followed a delayed loading protocol for all implants in this case series although excellent primary stability has been cited as a reason for immediate loading of implants in fibula free flaps. 31 Implant survival rate in our study was 100%, which was higher than previous studies and implant success rate in our study was 94%, which was lower than previous studies.…”

Section: Discussionmentioning

confidence: 99%

“…[5][6][7][8][9][10] The ultimate goal of such a surgical reconstruction should be functional dental prosthetic rehabilitation, placing dental implants in the reconstructed area may overcome problems related to dental rehabilitation with removable prostheses. [11][12][13][14] Fibular bone presents favorable conditions for implant placement, and subsequent implant supported prosthetic rehabilitation, due to its diameter and the good quality of its cortical bone. 11,[15][16][17][18][19] There are few studies focusing on the success rate of such treatment and the proportion of patients who are able to wear a functioning dental prosthesis after surgical reconstruction.…”

Section: Introductionmentioning

confidence: 99%

“…[11][12][13][14] Fibular bone presents favorable conditions for implant placement, and subsequent implant supported prosthetic rehabilitation, due to its diameter and the good quality of its cortical bone. 11,[15][16][17][18][19] There are few studies focusing on the success rate of such treatment and the proportion of patients who are able to wear a functioning dental prosthesis after surgical reconstruction. Furthermore, patient perception about the functional outcome of such treatment has rarely been reported in studies.…”

Section: Introductionmentioning

confidence: 99%

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Clinical and Functional Outcomes of Implant Prostheses in Fibula Free Flaps

Jain¹

2017

World Journal of Dentistry

193

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Introduction Functional reconstruction of jaw defects due to surgical resection is a challenge in maxillofacial surgery. The fibula free flap in combination with dental implants has exhibited growing popularity for such reconstructions. This study aimed at evaluating the clinical and functional outcome of dental implants inserted in fibula free flaps and dental implants used for orofacial reconstruction following ablation of tumors. Materials and methods A clinical follow-up study of 10 patients was conducted after oral surgery, who received vascularized fibula bone grafts and endosseous implants for functional jaw reconstruction during a 12-year period. The follow-up protocol included a clinical examination and radiological evaluation and interview using a questionnaire. Information on postoperative recovery after the surgical reconstruction phase and implant placement, type of diet, swallowing problems, speech intelligibility, lip competence, and perceived facial appearance was collected and analyzed. Results The survival rate of fibula free flap was 100%. The survival and success rates of implants placed in the fibula flaps at the end of the follow-up period were 100 and 94% respectively. Conclusion Implants placed in fibula bone grafts have been shown to integrate normally. Surgical reconstruction with vascularized fibula bone grafts followed by placement of dental implants after jaw resection can provide good clinical and functional outcomes for oral rehabilitation with a prosthesis. How to cite this article A riga P, N arayanan V, J ain A R, Philip JM, Nathan S. Clinical and Functional Outcomes of Implant Prostheses in Fibula Free Flaps. World J Dent 2017;8(3):171-176.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical and Functional Outcomes of Implant Prostheses in Fibula Free Flaps

Jain¹

2017

World Journal of Dentistry

193

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“…Three bones are commonly used for mandibular reconstruction: fi bula; iliac crest; or scapula. [2][3][4] Each of these have diverse attributes relating to bone dimensions, proportion of soft cancellous to hard cortical bone, 5,6 the nature and amount of available soft tissue, and the length of the vascular pedicle and the internal diameter of the vein and artery (Table 1).…”

Section: Introductionmentioning

confidence: 99%

Immediate implant supported bridgework simultaneous with jaw reconstruction for a patient with mandibular osteosarcoma

2009

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A patient with mandibular osteosarcoma underwent full immediate dental rehabilitation including insertion of dental implants and immediately loaded implant bridgework in the same operation as surgical resection of the tumour and scapular composite free fl ap reconstruction. Planning and pre-production of the titanium reconstruction plate, drill guides and bridgework using a 3D stereolithographic model of the patient's jaw is described. The advantage of this immediate full rehabilitation of an oncology patient is compared with the potential disadvantages.

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Use of Fibula-Free Tissue Transfer With Preoperative 2-Vessel Runoff to the Lower Extremity

Oxford

Ducic

2005

Archives of Facial Plastic Surgery

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To present our experience with fibula-free tissue transfer in patients with documented 2-vessel runoff to the lower extremity on preoperative angiography.Methods: A case series of 16 patients with segmental mandibular defects reconstructed with a fibula-free flap by the senior author with 100% stenosis of the anterior or posterior tibial arteries were retrospectively reviewed for radiographic data and complications.Results: All flaps performed were successful, and there were no donor site complications. Angiography documented flow of contrast to the foot by a patent anterior or posterior tibial artery in all patients. Occlusive arte-riosclerotic disease was identified in the anterior tibial artery in 10 patients and in the posterior tibial artery in 6 patients.Conclusions: Using our specific criteria, we experienced no complications with the use of a fibula-free flap in extremities with 100% obstructive vascular disease in the anterior or posterior tibial artery. Preoperative angiography is indicated to select appropriate candidates for fibula-free tissue transfer with 2-vessel lower extremity runoff to avoid potential donor site ischemic complications.

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Vascularized Bone Flaps in Oromandibular Reconstruction: A Comparative Anatomic Study of Bone Stock From Various Donor Sites to Assess Suitability for Enosseous Dental Implants

Cited by 180 publications

References 18 publications

Clinical and Functional Outcomes of Implant Prostheses in Fibula Free Flaps

Clinical and Functional Outcomes of Implant Prostheses in Fibula Free Flaps

Immediate implant supported bridgework simultaneous with jaw reconstruction for a patient with mandibular osteosarcoma

Use of Fibula-Free Tissue Transfer With Preoperative 2-Vessel Runoff to the Lower Extremity

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