Esthetic and functional reconstruction of large mandibular defects using free fibula flap and implant-retained prosthetics - a case series with long-term follow-up

The reconstructive and rehabilitative management of large mandibular defects with basal continuity is challenging in many respects, especially in the vertical dimension. The free fibula flap is an under-utilised but efficient approach in this indication. The aim of this case series is to demonstrate...

Teljes leírás

Elmentve itt :
Bibliográfiai részletek
Szerzők: Sass Tamás
Piffkó József
Braunitzer Gábor
Oberna Ferenc
Dokumentumtípus: Cikk
Megjelent: 2021
Sorozat:HEAD AND FACE MEDICINE 17 No. 1
Tárgyszavak:
doi:10.1186/s13005-021-00297-9

mtmt:32467765
Online Access:http://publicatio.bibl.u-szeged.hu/23782
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520 3 |a The reconstructive and rehabilitative management of large mandibular defects with basal continuity is challenging in many respects, especially in the vertical dimension. The free fibula flap is an under-utilised but efficient approach in this indication. The aim of this case series is to demonstrate its use and long-term success.Three cases are presented, where the patient had a large bone defect (at least 5 cm in length and 1 cm in the vertical dimension), but the continuity of the mandible was maintained. Two cases were related to pathological fracture and one was a large defect due to oncological surgery. Vertical augmentation with free microvascularised fibula flap was carried out, followed by implant-retained prosthetic therapy. Clinical status has been followed up for 5 to 6 years, with special attention to the condition of the peri-implant tissues and any radiographically detectable alterations or complications. No complications occurred during the follow-up. Function and esthetics have remained unchanged throughout.Free microvascularised fibula flap reconstruction combined with implant-retained prosthetics allows a lasting functional and esthetic solution in the discussed indication. 
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700 0 1 |a Piffkó József  |e aut 
700 0 1 |a Braunitzer Gábor  |e aut 
700 0 1 |a Oberna Ferenc  |e aut 
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