Primary insertion of osseointegrated dental implants into fibula osteoseptocutaneous free flap for mandible reconstruction

被引:109
作者
Chang, YM
Santamaria, E
Wei, FC
Chen, HC
Chan, CP
Shen, YF
Hou, SP
机构
[1] Chang Gung Univ, Chang Gung Mem Hosp, Coll Med, Dept Plast & Reconstruct Surg, Taipei, Taiwan
[2] Chang Gung Univ, Chang Gung Mem Hosp, Coll Med, Dept Oral & Maxillofacial Surg, Taipei, Taiwan
[3] Chang Gung Univ, Chang Gung Mem Hosp, Coll Med, Dept Dent, Taipei, Taiwan
[4] Chang Gung Univ, Chang Gung Mem Hosp, Coll Med, Dept Otolaryngol, Taipei, Taiwan
关键词
D O I
10.1097/00006534-199809030-00010
中图分类号
R61 [外科手术学];
学科分类号
摘要
Twelve patients with segmental mandibular defects were reconstructed with fibula osteoseptocutaneous flaps and simultaneous placement of osseointegrated implants. Decision to perform this procedure was based on the facts that all patients had benign diseases, did not require postoperative radiotherapy, were in good general and oral conditions, and were psychologically motivated. A total of 34 fixtures was inserted in the first stage. Eight patients underwent second stage surgery, which consisted of connection of the implant abutments to the fixtures and the use of palatal mucosal grafts around the implants. Final dental prostheses were fixed 1 month later in seven patients, at this time. All flaps survived after surgery, and no implant failure was observed after a mean follow-up period of 25 months. Only one fixture was not used during the subsequent stage and was left as a sleeper. Fixed dental prostheses were used in five patients and removable overlay prostheses in the other two. Chewing function was recovered between 4 and 6 weeks after the start using the definitive dental prosthesis. In contrast to previous results, we conclude that excellent results can be achieved when this combined procedure is used in carefully selected patients. In addition, it is confirmed that the fibula osteoseptocutaneous flap is a versatile, reliable composite tissue that facilitates primary placement of osseointegrated dental implants during mandible reconstruction, thus allowing full oral rehabilitation in a shorter period of time.
引用
收藏
页码:680 / 688
页数:9
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